Mireille Wellness Clinic

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MIREILLE WELLNESS CLINIC

Practice address

1601 N 7TH St Ste 340
Phoenix, AZ 85006-2223

Phone

(602) 314-5607

Fax

(602) 314-6307

NPI assigned

Jul 14, 2022

Organization subpart

No

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

Authorized official

Name

Mireille Mukiza, RBTNPI 1598498578

Title

Owner

Phone

(623) 314-5607

Specialties & licenses 2

Addresses

Other names 2

• MWC Other name
• Mireille Wellness Clinic Other name

Electronic endpoints 1

Locations

Practitioners 1

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

• Mireille Mukiza

  • Behavior Technician
  • Phoenix, AZ
  • NPI 1598498578
  NPD Authorized official

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657756800000",
    "number": "1821722778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 N 7TH ST STE 340",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062223",
            "telephone_number": "602-314-5607",
            "fax_number": "602-314-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N 7TH ST STE 340",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062223",
            "telephone_number": "602-314-5607",
            "fax_number": "602-314-6307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIREILLE WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A",
        "authorized_official_last_name": "MUKIZA",
        "authorized_official_first_name": "MIREILLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-314-5607",
        "authorized_official_credential": "RBT"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.mwcphx.com",
            "affiliation": "N",
            "endpointDescription": "https://www.mwcphx.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1601 N 7th St Ste 340",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850062223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MWC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Mireille Wellness Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Megan Dakota Miranda, DO
• Sarah Elizabeth Miranda, FNP
• Valerie Miranda, M.D.
• Lorelyne A Miravite, MSW
• Mirella M. Mircescu, M.D.
• Angelica Mireles, CPNP
• Mandalene Jayne Mirkhah, DDS
• Kayla Lauren Miro, LPC
• Joshua Mirrer, MD
• Mirror Image Dental LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.