| Platinum Wellness, Inc. | |
|
2720 E Thomas Rd Ste 190b Phoenix AZ 85016-8251 | |
| (323) 251-7313 | |
| Not Available |
| Full Name | Platinum Wellness, Inc. |
|---|---|
| Speciality | Psychologist - Addiction (substance Use Disorder) |
| Location | 2720 E Thomas Rd Ste 190b, Phoenix, Arizona |
| Authorized Official Name and Position | Siraje Kakooza (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3232517313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Platinum Wellness, Inc. 2720 E Thomas Rd Ste 190b Phoenix AZ 85016-8251 Ph: (323) 251-7313 | Platinum Wellness, Inc. 2720 E Thomas Rd Ste 190b Phoenix AZ 85016-8251 Ph: (323) 251-7313 |
| NPI Number | 1053281162 |
|---|---|
| Provider Enumeration Date | 11/05/2025 |
| Last Update Date | 11/05/2025 |
| Certification Date | 11/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053281162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | () | Primary |
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