Coconino Health and Wellness Center LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COCONINO HEALTH AND WELLNESS CENTER LLC

Practice address

2733 E Lakin Dr Ste 3
Flagstaff, AZ 86004-3951

Phone

(602) 706-4405

NPI assigned

Jun 1, 2023

Last updated

Jan 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Latara Marshall

Title

Owner

Phone

(202) 491-3155

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1346933553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2733 E LAKIN DR STE 3",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860043951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2733 E LAKIN DR STE 3",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860043951",
            "telephone_number": "602-706-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COCONINO HEALTH AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-01",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "LATARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-491-3155"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coconino County
• Coconino County Health Department
• Coconino County Health Department
• Coconino County HHS (HHS Behavioral)
• Coconino County Juvenile Courts
• Sara B Codner, MSSW, LCSW
• Steven Codner, O.D.
• Jennifer Leigh Cody
• Linzi Bruch Cody, LPC, PH.D.
• Ariel Leah Coffey, OT

• Community/Behavioral Health Agency in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.