| Hope Rebuilt | |
|
2020 S Mcclintock Dr Ste 101 Tempe AZ 85282-2691 | |
| (480) 579-8827 | |
| Not Available |
| Full Name | Hope Rebuilt |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2020 S Mcclintock Dr Ste 101, Tempe, Arizona |
| Authorized Official Name and Position | Maraeca Butler (OWNER/MANAGER) |
| Authorized Official Contact | 4805798827 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Rebuilt 2020 S Mcclintock Dr Ste 101 Tempe AZ 85282-2691 Ph: (480) 579-8827 | Hope Rebuilt 2020 S Mcclintock Dr Ste 101 Tempe AZ 85282-2691 Ph: (480) 579-8827 |
| NPI Number | 1477924843 |
|---|---|
| Provider Enumeration Date | 10/12/2015 |
| Last Update Date | 07/24/2022 |
| Certification Date | 07/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477924843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC-15498 (Arizona) | Primary |
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