| Arizona Behavioral Health Center Pc | |
|
2600 N 44th St Suite B104 Phoenix AZ 85008-1521 | |
| (602) 343-8232 | |
| (602) 343-8233 |
| Full Name | Arizona Behavioral Health Center Pc |
|---|---|
| Speciality | Social Worker |
| Location | 2600 N 44th St, Phoenix, Arizona |
| Authorized Official Name and Position | Lakshmi R Nolletti (CLINICAL DIRECTOR/OWNER) |
| Authorized Official Contact | 6023438232 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona Behavioral Health Center Pc 2600 N 44th St Suite B104 Phoenix AZ 85008-1521 Ph: (602) 343-8232 | Arizona Behavioral Health Center Pc 2600 N 44th St Suite B104 Phoenix AZ 85008-1521 Ph: (602) 343-8232 |
| NPI Number | 1396987459 |
|---|---|
| Provider Enumeration Date | 04/02/2009 |
| Last Update Date | 03/28/2017 |
| Medicare PECOS PAC ID | 8123155850 |
|---|---|
| Medicare Enrollment ID | O20100428000635 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396987459 | NPI | - | NPPES |
| Provider Name | Lakshmi R Nolletti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780752949 PECOS PAC ID: 2668509308 Enrollment ID: I20100428000793 |
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