| Bella Vida Tms Llc | |
|
9250 W Thomas Rd Ste 100 Phoenix AZ 85037-3383 | |
| (602) 465-9917 | |
| (602) 835-0559 |
| Full Name | Bella Vida Tms Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9250 W Thomas Rd Ste 100, Phoenix, Arizona |
| Authorized Official Name and Position | Brittany Cavicchioni (CEO) |
| Authorized Official Contact | 6026101191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bella Vida Tms Llc 9250 W Thomas Rd Ste 100 Phoenix AZ 85037-3383 Ph: (602) 610-1191 | Bella Vida Tms Llc 9250 W Thomas Rd Ste 100 Phoenix AZ 85037-3383 Ph: (602) 465-9917 |
| NPI Number | 1215700943 |
|---|---|
| Provider Enumeration Date | 11/03/2023 |
| Last Update Date | 09/28/2024 |
| Certification Date | 09/28/2024 |
| Medicare PECOS PAC ID | 7810340874 |
|---|---|
| Medicare Enrollment ID | O20240126001026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215700943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jennifer J Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427510437 PECOS PAC ID: 9537402128 Enrollment ID: I20190522003163 |
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