| Gentle Behavioral Health Pllc | |
|
1041 S Lebaron Ste P Mesa AZ 85210-3630 | |
| (480) 307-8809 | |
| (888) 972-7050 |
| Full Name | Gentle Behavioral Health Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1041 S Lebaron Ste P, Mesa, Arizona |
| Authorized Official Name and Position | Lana Peterson (OWNER) |
| Authorized Official Contact | 4803078809 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gentle Behavioral Health Pllc 1041 S Lebaron Ste P Mesa AZ 85210-3630 Ph: (480) 307-8809 | Gentle Behavioral Health Pllc 1041 S Lebaron Ste P Mesa AZ 85210-3630 Ph: (480) 307-8809 |
| NPI Number | 1770058190 |
|---|---|
| Provider Enumeration Date | 10/11/2018 |
| Last Update Date | 10/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770058190 | NPI | - | NPPES |
| 787757 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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