| Az Coherence Services Llc | |
|
10451 W Palmeras Dr Ste 105 Sun City AZ 85373-2067 | |
| (623) 326-4681 | |
| Not Available |
| Full Name | Az Coherence Services Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 10451 W Palmeras Dr Ste 105, Sun City, Arizona |
| Authorized Official Name and Position | Michael Sean Keegan (OWNER/OPERATOR) |
| Authorized Official Contact | 6233264681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Az Coherence Services Llc 10451 W Palmeras Dr Ste 105 Sun City AZ 85373-2067 Ph: (623) 326-4681 | Az Coherence Services Llc 10451 W Palmeras Dr Ste 105 Sun City AZ 85373-2067 Ph: (623) 326-4681 |
| NPI Number | 1558877969 |
|---|---|
| Provider Enumeration Date | 12/20/2017 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558877969 | NPI | - | NPPES |
| 815157294 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 14194 (Arizona) | Primary |
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