Wealth Refuge, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

WEALTH REFUGE, LLC

Practice address

7734 S 47TH LN
Laveen, AZ 85339-2388

Phone

(802) 579-8027

NPI assigned

Apr 21, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ildephonse Fayida, RN, MS, MA

Title

Director

Phone

(802) 579-8027

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1053008748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7734 S 47TH LN",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392388",
            "telephone_number": "802-579-8027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7734 S 47TH LN",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392388",
            "telephone_number": "802-579-8027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEALTH REFUGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-21",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "FAYIDA",
        "authorized_official_first_name": "ILDEPHONSE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "802-579-8027",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN, MS, MA"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acasia (Casey) Marie Wegenke, O.D.
• Najma Wehlie, MANAGER
• Western Care Inc
• Western Care Inc
• Whispering Palms Medical Inc

• Adult Mental Health Clinic/Center in Laveen, AZ
• Providers in Laveen, AZ by specialty
• Adult Mental Health Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.