Active NPI
Enhanced Wellness Center LLC
- Multi-Specialty Clinic/Center
- Phoenix, AZ
National Provider Identifier
1073406591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- ENHANCED WELLNESS CENTER LLC
- Practice address
- 1526 W Glendale Ave Ste 109
Phoenix, AZ 85021-8576 - Phone
- (714) 262-3140
- NPI assigned
- Jun 2, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Taryon Jarbah
- Title
- Owner
- Phone
- (214) 432-6794
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Primary | ||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | |||
| Recovery Care Clinic/Center | 261QR0800X | |||
| Substance Use Disorder Rehabilitation Hospital Unit | 276400000X |
Addresses
Primary practice location
1526 W Glendale Ave Ste 109
Phoenix, AZ 85021-8576
Mailing address
1526 W Glendale Ave Ste 109
Phoenix, AZ 85021-8576
National Provider Directory
National Provider DirectoryLocations
1526 W Glendale Ave
Ste 109
Phoenix, AZ 85021
Phone (602) 625-0513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748822400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773273600000",
"number": "1073406591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1526 W GLENDALE AVE STE 109",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850218576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1526 W GLENDALE AVE STE 109",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850218576",
"telephone_number": "714-262-3140"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENHANCED WELLNESS CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-02",
"last_updated": "2026-03-12",
"certification_date": "2026-03-12",
"status": "A",
"authorized_official_last_name": "JARBAH",
"authorized_official_first_name": "TARYON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "214-432-6794"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Recovery Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "276400000X",
"taxonomy_group": "",
"desc": "Rehabilitation, Substance Use Disorder Unit",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.