Valley Resilient Wellness LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

VALLEY RESILIENT WELLNESS LLC

Practice address

45 E Monterey Way Ste 201
Phoenix, AZ 85012-2757

Phone

(480) 369-9261

NPI assigned

May 19, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Dominecaa White, MS LPC BHPNPI 1285307942

Title

Ceo/Clinician

Phone

(480) 369-9261

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Dominecaa White, LPC

  • Professional Counselor
  • Phoenix, AZ
  • NPI 1285307942
  NPD Authorized official

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684454400000",
    "number": "1760173645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 E MONTEREY WAY STE 201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122757",
            "telephone_number": "480-369-9261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 E MONTEREY WAY STE 201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122757",
            "telephone_number": "480-369-9261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY RESILIENT WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "DOMINECAA",
        "authorized_official_title_or_position": "CEO/CLINICIAN",
        "authorized_official_telephone_number": "480-369-9261",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS LPC BHP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Valley Psychiatry PLLC
• Valley Radiologists LTD
• Valley Rehabilitation Associates, Inc
• Valley Social Services LLC
• Valley Spring Behavioral Health LLC
• Valley Surgical Center LLC
• Valley Surgical Clinics, LTD
• Valley Surgical Colorectal Specialists LLC

• Community/Behavioral Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.