| Axis Mental Health, Llc | |
|
1604 W Santa Ana Blvd Santa Ana CA 92703-3605 | |
| (949) 501-5979 | |
| Not Available |
| Full Name | Axis Mental Health, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1604 W Santa Ana Blvd, Santa Ana, California |
| Authorized Official Name and Position | Darryle Mackelvey (SUPERVISOR) |
| Authorized Official Contact | 7149486086 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Axis Mental Health, Llc 1604 W Santa Ana Blvd Santa Ana CA 92703-3605 Ph: (714) 582-2714 | Axis Mental Health, Llc 1604 W Santa Ana Blvd Santa Ana CA 92703-3605 Ph: (949) 501-5979 |
| NPI Number | 1134645716 |
|---|---|
| Provider Enumeration Date | 08/16/2017 |
| Last Update Date | 10/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134645716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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