| Elite Mental Health And Wellness | |
|
6738 S Tucana Ln Gilbert AZ 85298-8784 | |
| (314) 629-1828 | |
| Not Available |
| Full Name | Elite Mental Health And Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 6738 S Tucana Ln, Gilbert, Arizona |
| Authorized Official Name and Position | Stella Wamuyu Waweru (OWNER) |
| Authorized Official Contact | 3146291828 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Mental Health And Wellness 6738 S Tucana Ln Gilbert AZ 85298-8784 Ph: (314) 629-1828 | Elite Mental Health And Wellness 6738 S Tucana Ln Gilbert AZ 85298-8784 Ph: (314) 629-1828 |
| NPI Number | 1164166377 |
|---|---|
| Provider Enumeration Date | 04/25/2022 |
| Last Update Date | 09/08/2022 |
| Certification Date | 09/08/2022 |
| Medicare PECOS PAC ID | 7113395203 |
|---|---|
| Medicare Enrollment ID | O20221121002446 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164166377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Stella W Waweru |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649836750 PECOS PAC ID: 3274915467 Enrollment ID: I20220804001870 |
| Provider Name | Moses Waweru Kamuri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598455958 PECOS PAC ID: 5294175931 Enrollment ID: I20240429003214 |
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