Iconic Human Design, LLC

Primary specialty

Meals ProviderTaxonomy code 174200000X

Legal business name

ICONIC HUMAN DESIGN, LLC

Practice address

180 S Merritt Ranch Rd
Cornville, AZ 86325-5733

Phone

(928) 848-7388

NPI assigned

Jun 30, 2025

Organization subpart

No

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

Authorized official

Name

Laveena Brianne Archers, PHD

Title

Member Manager

Phone

(928) 948-7388

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751241600000",
    "number": "1689563405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1771 W ST RTE 89A STE 2516",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863365594",
            "telephone_number": "928-948-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 S MERRITT RANCH RD",
            "city": "CORNVILLE",
            "state": "AZ",
            "postal_code": "863255733",
            "telephone_number": "928-848-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICONIC HUMAN DESIGN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-29",
        "status": "A",
        "authorized_official_last_name": "ARCHERS",
        "authorized_official_first_name": "LAVEENA",
        "authorized_official_middle_name": "BRIANNE",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "928-948-7388",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Fink
• Kimberli Jo Galloway, RN
• Richard A Gibula, MD
• Eve Grossman, LCC AC, RN
• Denise Muesch Helm, RDH
• King Taxi Az LLC
• Maryn Leister, L.M.
• Richard Lopez, P.T.
• Mauricette Mancini, MFT, CBT
• Michelle McClatchie, MA LPC

• Meals Provider in Cornville, AZ
• Providers in Cornville, AZ by specialty
• Meals Provider in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.