Organization Active NPI

Wevolve LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mesa, AZ
National Provider Identifier
1700593860
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
WEVOLVE LLC
Practice address
1136 E Harmony Ave Ste 101
Mesa, AZ 85204-5844
Phone
(623) 252-3477
NPI assigned
Oct 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Authorized official

Name
Tawanna Wren
Title
Owner
Phone
(623) 252-3477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1136 E Harmony Ave Ste 101
Mesa, AZ 85204-5844

Mailing address

6935 Aliante Pkwy # 104-109
North Las Vegas, NV 89084-5818
Phone (623) 252-3477

National Provider Directory

National Provider Directory

Locations

6935 Aliante Pkwy
#104109
North Las Vegas, NV 89084

NPI Registry JSON

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

{
    "created_epoch": "1666915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683849600000",
    "number": "1700593860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6935 ALIANTE PKWY # 104-109",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890845818",
            "telephone_number": "623-252-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 E HARMONY AVE STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045844",
            "telephone_number": "623-252-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEVOLVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-28",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A",
        "authorized_official_last_name": "WREN",
        "authorized_official_first_name": "TAWANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-252-3477"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.