| Healing Wounds Llc | |
|
8300 N Hayden Rd Ste A-108 Scottsdale AZ 85258-2458 | |
| (210) 355-6207 | |
| (480) 467-0248 |
| Full Name | Healing Wounds Llc |
|---|---|
| Speciality | Psychologist |
| Location | 8300 N Hayden Rd, Scottsdale, Arizona |
| Authorized Official Name and Position | Sonja Louise Raciti (OWNER) |
| Authorized Official Contact | 2103556207 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Wounds Llc 8300 N Hayden Rd Ste A-108 Scottsdale AZ 85258-2458 Ph: (210) 355-6207 | Healing Wounds Llc 8300 N Hayden Rd Ste A-108 Scottsdale AZ 85258-2458 Ph: (210) 355-6207 |
| NPI Number | 1780033787 |
|---|---|
| Provider Enumeration Date | 06/09/2016 |
| Last Update Date | 06/09/2016 |
| Medicare PECOS PAC ID | 1254623432 |
|---|---|
| Medicare Enrollment ID | O20160708000216 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780033787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | AZ 4696 (Arizona) | Primary |
| Provider Name | Sonja L Raciti |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194966093 PECOS PAC ID: 3678865854 Enrollment ID: I20160708000365 |
| Provider Name | Martina Soltes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689829921 PECOS PAC ID: 5890156483 Enrollment ID: I20230728002739 |
| Provider Name | Marc E Bagnasco |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700969011 PECOS PAC ID: 4688025281 Enrollment ID: I20240108006092 |
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