| New Vision Behavioral Health & Wellness, Llc | |
|
2451 E Pueblo Ave Phoenix AZ 85040-1531 | |
| (623) 229-4755 | |
| Not Available |
| Full Name | New Vision Behavioral Health & Wellness, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2451 E Pueblo Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Monique Mason (ADMINISTRATOR) |
| Authorized Official Contact | 6232294755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Vision Behavioral Health & Wellness, Llc 4409 N 179th Dr Goodyear AZ 85395-5201 Ph: (623) 229-4755 | New Vision Behavioral Health & Wellness, Llc 2451 E Pueblo Ave Phoenix AZ 85040-1531 Ph: (623) 229-4755 |
| NPI Number | 1710510052 |
|---|---|
| Provider Enumeration Date | 02/14/2020 |
| Last Update Date | 11/27/2021 |
| Certification Date | 11/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710510052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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