| Bth Mental Wellness Center Llc | |
|
2920 N 24th Ave Ste 100 Phoenix AZ 85015-5958 | |
| (520) 521-4401 | |
| Not Available |
| Full Name | Bth Mental Wellness Center Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2920 N 24th Ave Ste 100, Phoenix, Arizona |
| Authorized Official Name and Position | Christina Fontenette (OPERATIONS MANAGER) |
| Authorized Official Contact | 5205214401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bth Mental Wellness Center Llc 2920 N 24th Ave Ste 100 Phoenix AZ 85015-5958 Ph: (520) 521-4401 | Bth Mental Wellness Center Llc 2920 N 24th Ave Ste 100 Phoenix AZ 85015-5958 Ph: (520) 521-4401 |
| NPI Number | 1326751488 |
|---|---|
| Provider Enumeration Date | 01/03/2023 |
| Last Update Date | 01/03/2023 |
| Certification Date | 01/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326751488 | NPI | - | NPPES |
| 23457742 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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