| Best Self Llc | |
|
10000 N 31st Ave Ste C100-128 Phoenix AZ 85051-1356 | |
| (480) 295-6181 | |
| Not Available |
| Full Name | Best Self Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 10000 N 31st Ave Ste C100-128, Phoenix, Arizona |
| Authorized Official Name and Position | Nicole Gordon (OWNER) |
| Authorized Official Contact | 4802956181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Best Self Llc 7609 W Rovey Ave Glendale AZ 85303-4250 Ph: (480) 295-6181 | Best Self Llc 10000 N 31st Ave Ste C100-128 Phoenix AZ 85051-1356 Ph: (480) 295-6181 |
| NPI Number | 1609475144 |
|---|---|
| Provider Enumeration Date | 10/24/2020 |
| Last Update Date | 10/24/2020 |
| Certification Date | 10/21/2020 |
| Medicare PECOS PAC ID | 0143635185 |
|---|---|
| Medicare Enrollment ID | O20210224002299 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609475144 | NPI | - | NPPES |
| Provider Name | Nicole Gordon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871144535 PECOS PAC ID: 1052726098 Enrollment ID: I20210224002342 |
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