NPI 1689563405
Iconic Human Design, LLC
Practice location
- Address
- 180 S Merritt Ranch Rd, Cornville, AZ 86325-5733
- Phone
- (928) 848-7388
- Mailing address
- 1771 W St Rte 89a STE 2516, Sedona, AZ 86336-5594
Authorised official
- Name
- Laveena Brianne Archers
- Title
- Member Manager
- Phone
- (928) 948-7388
Registered specialties
Meals Provider
Primary
Registry record
- NPI
- 1689563405
- Entity type
- Organization
- NPI issued
- 30 Jun 2025
- Record last updated
- 30 Jun 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.