Provider Demographics
NPI:1164944567
Name:EMEND HEALTH AND WELLNESS LLC
Entity Type:Organization
Organization Name:EMEND HEALTH AND WELLNESS LLC
Other - Org Name:MEND ACUPUNCTURE AND HERBAL MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:480-788-1757
Mailing Address - Street 1:3255 S DORSEY LN APT 2013
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-3981
Mailing Address - Country:US
Mailing Address - Phone:480-266-2657
Mailing Address - Fax:
Practice Address - Street 1:4100 S LINDSAY RD STE 111
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85297-1507
Practice Address - Country:US
Practice Address - Phone:480-788-1757
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-07
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0989171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty