Stand Tall Healing Center

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

STAND TALL HEALING CENTER

Doing business as

Stand Tall Healing Center

Practice address

3707 E. Southern Avenue Suite 2003
Mesa, AZ 85206

Phone

(404) 788-5121

NPI assigned

May 8, 2023

Last updated

Jun 5, 2023By 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

Kayode J WemimoNPI 1932852449

Title

Administrator

Phone

(623) 414-7715

Specialties & licenses 1

Addresses

Other names 1

• Stand Tall Healing Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kayode J Wemimo, DNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bloomington, MN
  • NPI 1932852449
  NPD Authorized official

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1376232041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 E. SOUTHERN AVENUE SUITE 2003",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85206",
            "telephone_number": "404-788-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 E. SOUTHERN AVENUE SUITE 2003",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85206",
            "telephone_number": "404-788-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAND TALL HEALING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "WEMIMO",
        "authorized_official_first_name": "KAYODE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "623-414-7715"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stand Tall Healing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kansas Courtney Staffy
• Max Armin Staheli
• Andrea Lynn Stahl, NP
• Sue Sheffield Stalcup, M.S.
• Nicole Stambaugh, HIS
• Ty Standage, DMD
• Standstrong LLC
• Denise Stanfield
• Stephanie Stang
• Stanley Pruitt LLC (Agape Joe's Counseling)

• Addiction (Substance Use Disorder) Counselor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.