| Evoke Recovery Llc | |
|
1600 W Chandler Blvd Ste 230 Chandler AZ 85224-6162 | |
| (480) 257-0656 | |
| Not Available |
| Full Name | Evoke Recovery Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1600 W Chandler Blvd Ste 230, Chandler, Arizona |
| Authorized Official Name and Position | Ericka Valdez (OWNER, CLINICAL DIRECTOR) |
| Authorized Official Contact | 4802570655 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evoke Recovery Llc 630 E Deer Creek Rd Phoenix AZ 85048-0196 Ph: (480) 257-0656 | Evoke Recovery Llc 1600 W Chandler Blvd Ste 230 Chandler AZ 85224-6162 Ph: (480) 257-0656 |
| NPI Number | 1821851411 |
|---|---|
| Provider Enumeration Date | 02/05/2024 |
| Last Update Date | 02/05/2024 |
| Certification Date | 02/05/2024 |
| Medicare PECOS PAC ID | 7719329408 |
|---|---|
| Medicare Enrollment ID | O20240528000150 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821851411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Ericka Valdez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215565759 PECOS PAC ID: 0446692131 Enrollment ID: I20240528000256 |
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