Core Self Llc | |
1600 W Chandler Blvd Ste 100 Chandler AZ 85224-6100 | |
(480) 719-7400 | |
Not Available |
Full Name | Core Self Llc |
---|---|
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 1600 W Chandler Blvd Ste 100, Chandler, Arizona |
Authorized Official Name and Position | Michaela Beaver (OWNER) |
Authorized Official Contact | 4807197400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Core Self Llc 1600 W Chandler Blvd Ste 100 Chandler AZ 85224-6100 Ph: (480) 719-7400 | Core Self Llc 1600 W Chandler Blvd Ste 100 Chandler AZ 85224-6100 Ph: (480) 719-7400 |
NPI Number | 1629811674 |
---|---|
Provider Enumeration Date | 06/17/2024 |
Last Update Date | 06/17/2024 |
Certification Date | 06/17/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629811674 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
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