| Hope Group Clinical | |
|
4530 E Muirwood Dr Ste 103 Phoenix AZ 85048-7693 | |
| (480) 610-6981 | |
| (480) 898-7419 |
| Full Name | Hope Group Clinical |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4530 E Muirwood Dr Ste 103, Phoenix, Arizona |
| Authorized Official Name and Position | Citadel Umali (BILLING ANALYST) |
| Authorized Official Contact | 4806106981 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Group Clinical 4530 E Muirwood Dr Ste 103 Phoenix AZ 85048-7693 Ph: (480) 610-6981 | Hope Group Clinical 4530 E Muirwood Dr Ste 103 Phoenix AZ 85048-7693 Ph: (480) 610-6981 |
| NPI Number | 1245803857 |
|---|---|
| Provider Enumeration Date | 07/21/2021 |
| Last Update Date | 07/29/2021 |
| Certification Date | 07/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245803857 | NPI | - | NPPES |
| 926675 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
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