| Majestic Wellness Clinics, Inc | |
|
2150 W Camelback Rd Phoenix AZ 85015-3443 | |
| (323) 251-7313 | |
| (888) 406-1966 |
| Full Name | Majestic Wellness Clinics, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2150 W Camelback Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Shafique Kakooza (CEO) |
| Authorized Official Contact | 8006896958 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Majestic Wellness Clinics, Inc 2150 W Camelback Rd Phoenix AZ 85015-3443 Ph: (800) 689-6958 | Majestic Wellness Clinics, Inc 2150 W Camelback Rd Phoenix AZ 85015-3443 Ph: (323) 251-7313 |
| NPI Number | 1265122279 |
|---|---|
| Provider Enumeration Date | 05/11/2023 |
| Last Update Date | 02/02/2024 |
| Certification Date | 12/28/2023 |
| Medicare PECOS PAC ID | 4688021777 |
|---|---|
| Medicare Enrollment ID | O20231110002353 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265122279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Latriece Session |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326773342 PECOS PAC ID: 2365812682 Enrollment ID: I20230821003810 |
Amra Stafford, Psyd, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 67 E Weldon Ave, Suite 320, Phoenix, AZ 85012 Phone: 602-456-7565 Fax: 602-266-0234 | |
Pro Iom Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 Phone: 602-482-2282 | |
Liberty Care Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8111 N 19th Ave Apt 2038, Phoenix, AZ 85021 Phone: 602-367-7916 | |
Insight-therapy Az Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4545 E Shea Blvd Ste 235, Phoenix, AZ 85028 Phone: 602-315-4068 Fax: 602-675-2705 | |
White Tiger Integrated Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 67 E Weldon Ave Ste 220, Phoenix, AZ 85012 Phone: 603-637-7361 | |
Eden Recovery Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2538 E University Dr Ste 180, Phoenix, AZ 85034 Phone: 480-390-3375 | |
Native Country Healthcare Systems Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4805 W Thomas Rd, Phoenix, AZ 85031 Phone: 602-706-8741 |