Provider Demographics
NPI:1124748637
Name:THREE W'S HEALING & WELLNESS CENTER
Entity type:Organization
Organization Name:THREE W'S HEALING & WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:MAURICE
Authorized Official - Last Name:SIMPSON
Authorized Official - Suffix:II
Authorized Official - Credentials:BA,HQCT,CCM,BHT,DSP
Authorized Official - Phone:480-343-7351
Mailing Address - Street 1:1108 E GREENWAY ST STE 1&2
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85203-4355
Mailing Address - Country:US
Mailing Address - Phone:480-343-7351
Mailing Address - Fax:
Practice Address - Street 1:1108 E GREENWAY ST STE 1&2
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85203-4355
Practice Address - Country:US
Practice Address - Phone:480-343-7351
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-02
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health