Organization Active NPI

Dunlap Wellness Ctr LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
National Provider Identifier
1265349906
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DUNLAP WELLNESS CTR LLC
Practice address
3612 W Dunlap Ave Ste B
Phoenix, AZ 85051-5300
Phone
(651) 353-8684
NPI assigned
Aug 26, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Authorized official

Name
Ahmed Mawanda
Title
Member Manager
Phone
(651) 353-8684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

3612 W Dunlap Ave Ste B
Phoenix, AZ 85051-5300

Mailing address

3612 W Dunlap Ave Ste B
Phoenix, AZ 85051-5300
Phone (651) 353-8684

NPI Registry JSON

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

{
    "created_epoch": "1787702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1265349906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3612 W DUNLAP AVE STE B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850515300",
            "telephone_number": "651-353-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3612 W DUNLAP AVE STE B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850515300",
            "telephone_number": "651-353-8684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNLAP WELLNESS CTR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-26",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "MAWANDA",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "651-353-8684"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.