Fit Mind Wellness, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

FIT MIND WELLNESS, LLC

Practice address

34975 N North Valley Pkwy Ste 152
Phoenix, AZ 85086-4032

Phone

(480) 525-7091

NPI assigned

Jun 15, 2020

Last updated

Jun 15, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marlena Gonzales-Gabaldon, DBH, LPCNPI 1700160462

Title

Clinical Director

Phone

(480) 292-3219

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marlena Gonzales Gabaldon, LPC

  • Mental Health Counselor
  • Phoenix, AZ
  • NPI 1700160462
  NPD Authorized official

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592179200000",
    "number": "1871118919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34975 N NORTH VALLEY PKWY STE 152",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850864032",
            "telephone_number": "480-525-7091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34975 N NORTH VALLEY PKWY STE 152",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850864032",
            "telephone_number": "480-525-7091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIT MIND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A",
        "authorized_official_last_name": "GONZALES-GABALDON",
        "authorized_official_first_name": "MARLENA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "480-292-3219",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DBH, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Marie Rumby Fisk, OTR/L
• Shirley A Fiske, D.O.
• Rita E Fisler, M.D.
• Fit Health Care LLC
• Fit Kids, Inc.
• Fit4 an Empowered Life LLC
• Lauren Rose Fitch
• Marlee Kristine Fitts, PA-C
• Leah Fitz-Simon, OTR/L
• Alexandra Maya Fitzgerald

• Mental Health Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; 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.