| From Within | |
|
99 E Virginia Ave Ste 170 Phoenix AZ 85004-1195 | |
| (602) 321-9536 | |
| Not Available |
| Full Name | From Within |
|---|---|
| Speciality | Counselor - Professional |
| Location | 99 E Virginia Ave, Phoenix, Arizona |
| Authorized Official Name and Position | James Kelleher (COUNSELOR) |
| Authorized Official Contact | 6023219536 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| From Within 99 E Virginia Ave Ste 170 Phoenix AZ 85004-1195 Ph: () - | From Within 99 E Virginia Ave Ste 170 Phoenix AZ 85004-1195 Ph: (602) 321-9536 |
| NPI Number | 1497090518 |
|---|---|
| Provider Enumeration Date | 11/29/2012 |
| Last Update Date | 11/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497090518 | NPI | - | NPPES |
| 928418 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC-13096 (Arizona) | Primary |
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