| Hope & Haven Family Services Llc | |
|
3015 N Scottsdale Rd Unit 4222 Scottsdale AZ 85251-7262 | |
| (773) 661-8193 | |
| (999) 999-9999 |
| Full Name | Hope & Haven Family Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3015 N Scottsdale Rd Unit 4222, Scottsdale, Arizona |
| Authorized Official Name and Position | Lashonia Shasherah Pennix (OWNER) |
| Authorized Official Contact | 7736618193 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope & Haven Family Services Llc 644 N Country Club Dr Ste C Mesa AZ 85201-4983 Ph: (773) 661-8193 | Hope & Haven Family Services Llc 3015 N Scottsdale Rd Unit 4222 Scottsdale AZ 85251-7262 Ph: (773) 661-8193 |
| NPI Number | 1215538111 |
|---|---|
| Provider Enumeration Date | 11/06/2020 |
| Last Update Date | 06/29/2021 |
| Certification Date | 06/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215538111 | NPI | - | NPPES |
| 00000000 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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