| Az Pure Wellness Llc | |
|
7865 W Bell Rd # 1056 Peoria AZ 85382-3803 | |
| (602) 825-3925 | |
| Not Available |
| Full Name | Az Pure Wellness Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 7865 W Bell Rd # 1056, Peoria, Arizona |
| Authorized Official Name and Position | Vivian Fajardo (OWNER/CLINICIAN) |
| Authorized Official Contact | 6028253925 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Az Pure Wellness Llc 7865 W Bell Rd # 1056 Peoria AZ 85382-3803 Ph: (602) 825-3925 | Az Pure Wellness Llc 7865 W Bell Rd # 1056 Peoria AZ 85382-3803 Ph: (602) 825-3925 |
| NPI Number | 1952032328 |
|---|---|
| Provider Enumeration Date | 06/17/2022 |
| Last Update Date | 06/17/2022 |
| Certification Date | 06/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952032328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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