Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Seaside Sanctuary Clinic LLC

Organization Specialist · NPI 1285784082

Seaside Sanctuary Clinic LLC provides Specialist services in Flagstaff, Arizona. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2401 W Route 66 #24
Flagstaff, AZ 86001-8761
Phone: (361) 463-1353
Fax: (215) 261-0666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence K6250 (TX)

Record details

NPI number1285784082
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Meadows — Director · (361) 463-1353
Other names Mary C. Meadows, N.D.
NPI enumeratedJanuary 12, 2007
Last updated in NPPESAugust 22, 2020
Mailing address2401 W Route 66, 24, Flagstaff, AZ 86001-8761

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