| 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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