Organization Active NPI

Enhanced Wellness Center LLC

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1073406591
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
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

Updated by the provider on Mar 12, 2026

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.