Grande Integrated Wellness Solutions LLC

Primary specialty

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

Legal business name

GRANDE INTEGRATED WELLNESS SOLUTIONS LLC

Practice address

4419 N 93Rd Dr
Phoenix, AZ 85037-0803

Phone

(404) 447-0127

NPI assigned

Oct 26, 2023

Organization subpart

No

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

Authorized official

Name

Winston Onyeani

Title

Ceo

Phone

(404) 447-0127

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Daud Biola Koleosho

  • Primary Care Nurse Practitioner
  • Tempe, AZ
  • NPI 1962093781
  NPD
• Emmanuel Onyeani

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
  • NPI 1194215673
  NPD (past)

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1992577555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4419 N 93RD DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850370803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4419 N 93RD DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850370803",
            "telephone_number": "404-447-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDE INTEGRATED WELLNESS SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-26",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "ONYEANI",
        "authorized_official_first_name": "WINSTON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-447-0127"
    },
    "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": []
}

• Grand Canyon Wellness Center
• Grand Desert Home Health, LLC
• Grand Services and More LLC
• Grand Therapy LTD
• Grande Integrated Wellness Solutions LLC
• Cheryl Grandone, MD
• William Grandt, PHARMD
• Grandview Care LLC
• Zayden Ray Grandys-Schultz
• Milka Granic

• 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 May 1, 2024; 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.