| Lifewell Behavioral Wellness - Royal Palms | |
|
10844 N 23rd Ave Ste 200 Phoenix AZ 85029-4947 | |
| (602) 353-2340 | |
| (602) 353-2400 |
| Full Name | Lifewell Behavioral Wellness - Royal Palms |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10844 N 23rd Ave Ste 200, Phoenix, Arizona |
| Authorized Official Name and Position | Doris Vaught (PRESIDENT AND CEO) |
| Authorized Official Contact | 6025995420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifewell Behavioral Wellness - Royal Palms 202 E Earll Dr Ste 200 Phoenix AZ 85012-2647 Ph: (602) 599-5434 | Lifewell Behavioral Wellness - Royal Palms 10844 N 23rd Ave Ste 200 Phoenix AZ 85029-4947 Ph: (602) 353-2340 |
| NPI Number | 1982191284 |
|---|---|
| Provider Enumeration Date | 04/23/2018 |
| Last Update Date | 05/28/2021 |
| Certification Date | 05/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982191284 | NPI | - | NPPES |
| 444173 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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