EARTHWALK WELLNESS GROUP, LLC


Address: 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381
Phone: 4803491031

EARTHWALK WELLNESS GROUP, LLC (NPI# 1568934107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568934107
Entity Type Organization
Organization Name EARTHWALK WELLNESS GROUP, LLC
Practice Address 14050 North 83rd Avenue
Suite 290
Peoria
AZ 85381
Mailing Address 7373 East Doubletree Ranch
Suite 165
Scottsdale
AZ 85258
Practice Telephone 4803491031
Practice Fax Number 6233211565
Mailing Telephone 4806647478
Mailing Fax Number 6022976890
Enumeration Date 2018-12-20
Last Update Date 2018-12-20
Authorized Official Name KYRIE THOMPSON (MANAGING MEMBER)
Authorized Official Telephone 4803491031
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
Behavioral Health & Social Service Providers

Office Location

Street Address 14050 NORTH 83RD AVENUE
SUITE 290
City PEORIA
State AZ
Zip Code 85381

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932712122 Vicki L Grenier Registered Nurse 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 2020-08-26
1316412059 John & Biljana Feeley Dba J & B Assisted Living IIi Inc Community Based Residential Treatment Facility, Mental Illness 7331 W Sweetwater Avenue, Peoria, AZ 85381 2018-10-09
1467958611 Arizona Community Pharmacy Pharmacy 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 2018-04-04
1083112106 Marissa Lynn Desjardins Physical Therapist 8240 W. Cactus Rd. Oakeson Physical Therapy, Peoria, AZ 85381 2018-01-23
1235651399 Power Back Batteries LLC Durable Medical Equipment & Medical Supplies 9054 West Lisbon Ave, Peoria, AZ 85381 2017-07-11
1457897027 Sonoran Sky Community Services Community Based Residential Treatment Facility, Mental Illness 7524 W. Alexandria Way, Peoria, AZ 85381 2017-01-06
1386023448 Scott Boone Registered Nurse 7715 W Watson Ln, Peoria, AZ 85381 2015-05-22
1881084838 Pinnacle Women's Center LLC Obstetrics & Gynecology 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 2015-01-29
1245637081 Kathi Locke Counselor 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 2014-11-21
1831512250 Tigist Tiku Pharmacist 7421 W Thunderbird Rd, Peoria, AZ 85381 2014-01-22
Find all providers in zip 85381

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447857305 Kelsey Hardy Social Worker 306 Pecan St, Peoria, IL 61602-1662 2020-10-05
1821608985 Jozie Allen Social Worker 1001 Main St Ste 107, Peoria, IL 61606-1907 2020-08-04
1811533276 Portia Elizabeth Adams Social Worker 712 E War Memorial Dr, Peoria, IL 61616-7548 2019-11-20
1548818511 Christine Svoboda Social Worker 6919 N Knoxville Ave Ste 100 and 202, Peoria, IL 61614 2019-09-03
1205498573 Leith Elan Bucher Social Worker 1801 W Gardenia Dr Apt 13312, Peoria, IL 61615-7098 2019-07-08
1568934164 Venus E Evans-winters Social Worker 4507 N Sterling Ave Ste 201, Peoria, IL 61615-3861 2018-12-19
1700301058 Lisa Gail Childers Social Worker 508 W Timber Ridge Dr, Peoria, IL 61615-2057 2017-08-08
1538608690 Phoenix Wellness, LLC Social Worker 2020 W War Memorial Dr, Ste 304, Peoria, IL 61614-6754 2017-02-21
1861937955 Angela Gilles Social Worker 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 2016-12-27
1033654272 Stephanie Henry Social Worker 6726 W Brown St, Peoria, AZ 85345-6872 2016-12-26
Find all providers in PEORIA

Competitor

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City PEORIA
Zip Code 85381

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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