| Majestic Wellness Clinics, Inc | |
|
2720 E Thomas Rd Ste 170b Phoenix AZ 85016-8230 | |
| (800) 689-6958 | |
| Not Available |
| Full Name | Majestic Wellness Clinics, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2720 E Thomas Rd Ste 170b, Phoenix, Arizona |
| Authorized Official Name and Position | Shafique Kakooza (CEO) |
| Authorized Official Contact | 8006896958 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Majestic Wellness Clinics, Inc 2720 E Thomas Rd Ste 170b Phoenix AZ 85016-8230 Ph: (800) 689-6958 | Majestic Wellness Clinics, Inc 2720 E Thomas Rd Ste 170b Phoenix AZ 85016-8230 Ph: (800) 689-6958 |
| NPI Number | 1265122279 |
|---|---|
| Provider Enumeration Date | 05/11/2023 |
| Last Update Date | 03/12/2025 |
| Certification Date | 03/12/2025 |
| Medicare PECOS PAC ID | 4688021777 |
|---|---|
| Medicare Enrollment ID | O20231110002353 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265122279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Latriece Session |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326773342 PECOS PAC ID: 2365812682 Enrollment ID: I20230821003810 |
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