| Earthwalk Wellness Group, Llc | |
|
14050 North 83rd Avenue Suite 290 Peoria AZ 85381 | |
| (480) 349-1031 | |
| (623) 321-1565 |
| Full Name | Earthwalk Wellness Group, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 14050 North 83rd Avenue, Peoria, Arizona |
| Authorized Official Name and Position | Kyrie Thompson (MANAGING MEMBER) |
| Authorized Official Contact | 4803491031 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Earthwalk Wellness Group, Llc 7373 East Doubletree Ranch Suite 165 Scottsdale AZ 85258 Ph: (480) 664-7478 | Earthwalk Wellness Group, Llc 14050 North 83rd Avenue Suite 290 Peoria AZ 85381 Ph: (480) 349-1031 |
| NPI Number | 1568934107 |
|---|---|
| Provider Enumeration Date | 12/20/2018 |
| Last Update Date | 12/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568934107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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