NPIMap

Organization Active NPI

Soteria Wellness Center LLC

  • Adult Mental Health Clinic/Center
  • Cave Creek, AZ
National Provider Identifier
1669163937
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
SOTERIA WELLNESS CENTER LLC
Doing business as
Soteria Wellness Center LLC
Practice address
31048 N Rancho Tierra Dr
Cave Creek, AZ 85331-5909
Phone
(508) 904-2782
NPI assigned
May 17, 2023
Last updated
Jun 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Authorized official

Name
Miss Anisha Bukenya
Title
Co-Owner
Phone
(323) 287-9324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

31048 N Rancho Tierra Dr
Cave Creek, AZ 85331-5909

Mailing address

31048 N Rancho Tierra Dr
Cave Creek, AZ 85331-5909
Phone (508) 904-2782

Other names 1

  • SOTERIA WELLNESS CENTER LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1669163937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31048 N RANCHO TIERRA DR",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853315909",
            "telephone_number": "508-904-2782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31048 N RANCHO TIERRA DR",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853315909",
            "telephone_number": "508-904-2782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOTERIA WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "BUKENYA",
        "authorized_official_first_name": "ANISHA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "323-287-9324",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOTERIA WELLNESS CENTER LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SOTERIA WELLNESS CENTER LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cave Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.