Thundermaker Wellness LLC

NPI #1821896051 in Prescott, Arizona

Provider Information

NPI Number: 1821896051
Entity Type: Organization
Organization Name: Thundermaker Wellness LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Mar 4, 2025
Last Updated: Dec 12, 2025

Practice Location

Address: 1045 WHIPPLE ST
City: Prescott
State: Arizona
ZIP Code: 86305-1662
Phone: (928) 493-4300

Authorized Official

Name: ADDISON HOWARD
Title: ADMINISTRATIVE OFFICER
Phone: (928) 531-1930

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder	261QR0405X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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