Organization Active NPI

Making a Difference Wellness Center LLC

  • Mental Health Counselor
  • Mesa, AZ
National Provider Identifier
1942992607
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MAKING A DIFFERENCE WELLNESS CENTER LLC
Practice address
1830 S Alma School Rd Ste 134
Mesa, AZ 85210-3088
Phone
(480) 273-3503
NPI assigned
May 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Authorized official

Name
Mr. Ford Daniels
Title
Ceo
Phone
(480) 273-3503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1830 S Alma School Rd Ste 134
Mesa, AZ 85210-3088

Mailing address

1865 N Higley Rd Apt 1082
Mesa, AZ 85205-3330
Phone (480) 273-3503

National Provider Directory

National Provider Directory

Locations

1830 S Alma School Rd
Ste 134
Mesa, AZ 85210
Phone (480) 839-4085

NPI Registry JSON

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1942992607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 N HIGLEY RD APT 1082",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852053330",
            "telephone_number": "480-273-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 S ALMA SCHOOL RD STE 134",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103088",
            "telephone_number": "480-273-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKING A DIFFERENCE WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "FORD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-273-3503",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "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 22, 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.