| Healvine Llc | |
|
1204 E Baseline Rd Ste 106 Tempe AZ 85283-1447 | |
| (877) 755-8040 | |
| Not Available |
| Full Name | Healvine Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1204 E Baseline Rd Ste 106, Tempe, Arizona |
| Authorized Official Name and Position | Mohamed Othman (OWNER) |
| Authorized Official Contact | 6028153293 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healvine Llc 1204 E Baseline Rd Ste 106 Tempe AZ 85283-1447 Ph: (877) 755-8040 | Healvine Llc 1204 E Baseline Rd Ste 106 Tempe AZ 85283-1447 Ph: (877) 755-8040 |
| NPI Number | 1396413720 |
|---|---|
| Provider Enumeration Date | 08/31/2021 |
| Last Update Date | 08/16/2022 |
| Certification Date | 08/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396413720 | NPI | - | NPPES |
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