Active NPI
Dunlap Wellness Ctr LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Phoenix, AZ
National Provider Identifier
1265349906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.