Grand Canyon Wellness Center
NPI 1356919583 · Mental Health Clinic/Center (Including Community Mental Health Center) · Phoenix, AZ
Grand Canyon Wellness Center is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Phoenix, AZ (NPI 1356919583).
Provider details
- NPI number
- 1356919583
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Niecey Bolden, Owner(702) 677-7410
Specialties & taxonomies
Ambulatory Health Care Facilities
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-06-14
- Last updated
- 2021-06-14
- Certified
- 2021-06-14
Frequently asked questions
- What is Grand Canyon Wellness Center's NPI number?
- Grand Canyon Wellness Center's National Provider Identifier (NPI) is 1356919583, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grand Canyon Wellness Center?
- Grand Canyon Wellness Center is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Grand Canyon Wellness Center located?
- Grand Canyon Wellness Center's practice location on file with NPPES is 2423 W Dunlap Ave Ste 110, Phoenix, AZ 85021-2830.
- What is Grand Canyon Wellness Center's phone number?
- The practice phone number listed in the NPPES registry for Grand Canyon Wellness Center is (702) 677-7410.
- Who is the authorized official for Grand Canyon Wellness Center?
- The authorized official listed on Grand Canyon Wellness Center's NPPES record is Niecey Bolden, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grand Canyon Wellness Center's NPI active?
- Yes — Grand Canyon Wellness Center's NPI (1356919583) is active in the NPPES registry as of the last update on 2021-06-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.