| Avery's House Llc | |
|
11624 E Shea Blvd Scottsdale AZ 85259-5111 | |
| (203) 200-8556 | |
| Not Available |
| Full Name | Avery's House Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 11624 E Shea Blvd, Scottsdale, Arizona |
| Authorized Official Name and Position | Laura Nuss (CFO) |
| Authorized Official Contact | 2032008556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avery's House Llc 11445 E Via Linda Ste 2-617 Scottsdale AZ 85259-2655 Ph: (203) 200-8556 | Avery's House Llc 11624 E Shea Blvd Scottsdale AZ 85259-5111 Ph: (203) 200-8556 |
| NPI Number | 1841911526 |
|---|---|
| Provider Enumeration Date | 09/09/2022 |
| Last Update Date | 02/12/2024 |
| Certification Date | 09/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841911526 | NPI | - | NPPES |
| 7992 | Other | AZ | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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