| Fkl Enterprises, Llc | |
|
4646 E Greenway Rd Ste 100 Phoenix AZ 85032-4805 | |
| (602) 786-5742 | |
| Not Available |
| Full Name | Fkl Enterprises, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 4646 E Greenway Rd Ste 100, Phoenix, Arizona |
| Authorized Official Name and Position | Filipe Coelho (OWNER) |
| Authorized Official Contact | 4806749221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fkl Enterprises, Llc 8700 E Via De Ventura Ste 280 Scottsdale AZ 85258-4541 Ph: (480) 750-0067 | Fkl Enterprises, Llc 4646 E Greenway Rd Ste 100 Phoenix AZ 85032-4805 Ph: (602) 786-5742 |
| NPI Number | 1316796790 |
|---|---|
| Provider Enumeration Date | 05/16/2024 |
| Last Update Date | 05/16/2024 |
| Certification Date | 05/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316796790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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