Organization Active NPI

Abstain Wellness Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
National Provider Identifier
1891638367
Registry record updated Apr 10, 2026
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
ABSTAIN WELLNESS CENTER LLC
Practice address
1717 W Northern Ave Ste 209
Phoenix, AZ 85021-5471
Phone
(602) 780-3285
NPI assigned
Apr 10, 2026
Last updated
Apr 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Authorized official

Name
Kedha AlceNPI 1467110676
Title
Owner
Phone
(239) 745-2517

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

Addresses

Primary practice location

1717 W Northern Ave Ste 209
Phoenix, AZ 85021-5471

Mailing address

1717 W Northern Ave Ste 209
Phoenix, AZ 85021-5471
Phone (239) 745-2517

National Provider Directory

National Provider Directory

Locations

1717 W Northern Ave
Ste 209
Phoenix, AZ 85021
Phone (239) 745-2517

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1775779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775779200000",
    "number": "1891638367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 W NORTHERN AVE STE 209",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850215471",
            "telephone_number": "239-745-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 W NORTHERN AVE STE 209",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850215471",
            "telephone_number": "602-780-3285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSTAIN WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-10",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A",
        "authorized_official_last_name": "ALCE",
        "authorized_official_first_name": "KEDHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-745-2517"
    },
    "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 Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; 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.