| Healing Hartze, Pllc | |
|
23460 N 19th Ave Ste 220 Phoenix AZ 85027-2170 | |
| (602) 989-8899 | |
| (602) 900-0969 |
| Full Name | Healing Hartze, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 23460 N 19th Ave Ste 220, Phoenix, Arizona |
| Authorized Official Name and Position | January Hartze (OWNER/CEO) |
| Authorized Official Contact | 6022924477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Hartze, Pllc 17505 N 79th Ave Ste 105 Glendale AZ 85308-8724 Ph: (602) 292-4477 | Healing Hartze, Pllc 23460 N 19th Ave Ste 220 Phoenix AZ 85027-2170 Ph: (602) 989-8899 |
| NPI Number | 1801623228 |
|---|---|
| Provider Enumeration Date | 09/18/2024 |
| Last Update Date | 09/18/2024 |
| Certification Date | 09/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801623228 | NPI | - | NPPES |
| 1043982747 | Other | AZ | HEALING HARTZE OTHER ORGANIZATIONAL NPI |
| CSLG13337 | Other | AZ | ARIZONA DEPARTMENT OF HEALTH SERVICES LICENSE |
| 1740851542 | Other | AZ | JANUARY HARTZE INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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