Amethyst Monkey Llc | |
1232 E Broadway Rd Ste 205 Tempe AZ 85282-1509 | |
(315) 663-4793 | |
Not Available |
Full Name | Amethyst Monkey Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 1232 E Broadway Rd Ste 205, Tempe, Arizona |
Authorized Official Name and Position | Giuliana Santaferra (OWNER) |
Authorized Official Contact | 3156634793 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Amethyst Monkey Llc 526 W 1st St Ste 107 Tempe AZ 85281-2726 Ph: (315) 663-4793 | Amethyst Monkey Llc 1232 E Broadway Rd Ste 205 Tempe AZ 85282-1509 Ph: (315) 663-4793 |
NPI Number | 1346099504 |
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Provider Enumeration Date | 05/17/2024 |
Last Update Date | 05/17/2024 |
Certification Date | 05/17/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346099504 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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