Organization Active NPI

Humble Wellness Group, LLC

  • Massage Therapist
  • Prescott, AZ
National Provider Identifier
1699508283
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
HUMBLE WELLNESS GROUP, LLC
Practice address
623 Miller Valley Rd Ste B
Prescott, AZ 86301-2302
Phone
(928) 910-9824
NPI assigned
Aug 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Authorized official

Name
Lauren Renae Delcor, LMTNPI 1225682677
Title
Owner
Phone
(928) 910-9824

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

623 Miller Valley Rd Ste B
Prescott, AZ 86301-2302

Mailing address

623 Miller Valley Rd Ste B
Prescott, AZ 86301-2302
Phone (928) 910-9824

National Provider Directory

National Provider Directory

Locations

623 Miller Valley Rd
Ste B
Prescott, AZ 86301
Phone (928) 232-0168

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1699508283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 MILLER VALLEY RD STE B",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863012302",
            "telephone_number": "928-910-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 MILLER VALLEY RD STE B",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863012302",
            "telephone_number": "928-910-9824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMBLE WELLNESS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "DELCOR",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "RENAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-910-9824",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.