| New Phase Of Life Treatment Center Pllc | |
|
8220 W Forest Grove Ave Phoenix AZ 85043-1526 | |
| (281) 475-0073 | |
| Not Available |
| Full Name | New Phase Of Life Treatment Center Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 8220 W Forest Grove Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Maceline Eku Check (PROVIDER) |
| Authorized Official Contact | 2814750073 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Phase Of Life Treatment Center Pllc 29815 N Legends Chase Cir Spring TX 77386-2049 Ph: (281) 475-0073 | New Phase Of Life Treatment Center Pllc 8220 W Forest Grove Ave Phoenix AZ 85043-1526 Ph: (281) 475-0073 |
| NPI Number | 1407549231 |
|---|---|
| Provider Enumeration Date | 05/29/2023 |
| Last Update Date | 05/29/2023 |
| Certification Date | 05/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407549231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
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 | |
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