Heal Az Counseling And Wellness Center Pllc | |
1845 S Dobson Rd Ste 109 Mesa AZ 85202-5662 | |
(480) 466-7010 | |
Not Available |
Full Name | Heal Az Counseling And Wellness Center Pllc |
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Speciality | Psychologist |
Location | 1845 S Dobson Rd Ste 109, Mesa, Arizona |
Authorized Official Name and Position | Deborah Butler (OFFICE MANAGER) |
Authorized Official Contact | 4802042477 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Heal Az Counseling And Wellness Center Pllc 3673 E Nolan Dr Chandler AZ 85249-4697 Ph: () - | Heal Az Counseling And Wellness Center Pllc 1845 S Dobson Rd Ste 109 Mesa AZ 85202-5662 Ph: (480) 466-7010 |
NPI Number | 1568989671 |
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Provider Enumeration Date | 08/29/2017 |
Last Update Date | 08/29/2017 |
Medicare PECOS PAC ID | 3476819319 |
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Medicare Enrollment ID | O20171109002762 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568989671 | NPI | - | NPPES |
1295192060 | Other | AZ | IND NPI NUMBER |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | 3961 (Arizona) | Primary |
Provider Name | Nitika Singh |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1295192060 PECOS PAC ID: 3779887658 Enrollment ID: I20160212002337 |
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