Provider Demographics
NPI:1972297166
Name:PRIME HEALTH SOLUTIONS LLC
Entity Type:Organization
Organization Name:PRIME HEALTH SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOLISTIC HEALTH PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:ASHIA
Authorized Official - Middle Name:DESHUND
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:CHHP
Authorized Official - Phone:520-472-0637
Mailing Address - Street 1:1675 E SAN XAVIER DR
Mailing Address - Street 2:
Mailing Address - City:CASA GRANDE
Mailing Address - State:AZ
Mailing Address - Zip Code:85122-6313
Mailing Address - Country:US
Mailing Address - Phone:520-450-0759
Mailing Address - Fax:
Practice Address - Street 1:3133 W FRYE RD STE 101-1072
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85226-5110
Practice Address - Country:US
Practice Address - Phone:520-472-0637
Practice Address - Fax:520-779-0749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-08
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty