Lifewell Behavioral Wellness | |
3540 E Baseline Rd Suite 150 Phoenix AZ 85042-9630 | |
(602) 808-2800 | |
(602) 808-2799 |
Full Name | Lifewell Behavioral Wellness |
---|---|
Speciality | Community/behavioral Health |
Location | 3540 E Baseline Rd, Phoenix, Arizona |
Authorized Official Name and Position | Doris Vaught (ECECUTIVE VICE PRESIDENT/CFO) |
Authorized Official Contact | 6025995420 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lifewell Behavioral Wellness 202 E Earll Dr Suite 200 Phoenix AZ 85012-2634 Ph: (602) 808-2800 | Lifewell Behavioral Wellness 3540 E Baseline Rd Suite 150 Phoenix AZ 85042-9630 Ph: (602) 808-2800 |
NPI Number | 1609251057 |
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Provider Enumeration Date | 07/28/2015 |
Last Update Date | 11/04/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609251057 | NPI | - | NPPES |
037445 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | OTC7810 (Arizona) | Primary |
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