| Moodclinics Llc | |
|
7828 N 19th Ave Ste 10 Phoenix AZ 85021-7044 | |
| (602) 923-0436 | |
| (480) 566-0247 |
| Full Name | Moodclinics Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 7828 N 19th Ave Ste 10, Phoenix, Arizona |
| Authorized Official Name and Position | Hughes Mohlie (OWNER/SOLE PROVIDER) |
| Authorized Official Contact | 6029230436 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moodclinics Llc 7828 N 19th Ave Ste 10 Phoenix AZ 85021-7044 Ph: (480) 567-0225 | Moodclinics Llc 7828 N 19th Ave Ste 10 Phoenix AZ 85021-7044 Ph: (602) 923-0436 |
| NPI Number | 1427434695 |
|---|---|
| Provider Enumeration Date | 08/10/2015 |
| Last Update Date | 02/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427434695 | NPI | - | NPPES |
| 895664 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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