| Nuphase Health Services | |
|
4225 W Glendale Ave Ste A102 Phoenix AZ 85051-8195 | |
| (717) 747-6522 | |
| Not Available |
| Full Name | Nuphase Health Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4225 W Glendale Ave Ste A102, Phoenix, Arizona |
| Authorized Official Name and Position | Qiana Michele Mayberry (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Contact | 7177476522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nuphase Health Services 14613 E Desert Vista Trl Scottsdale AZ 85262-7826 Ph: (717) 747-6522 | Nuphase Health Services 4225 W Glendale Ave Ste A102 Phoenix AZ 85051-8195 Ph: (717) 747-6522 |
| NPI Number | 1427701937 |
|---|---|
| Provider Enumeration Date | 02/03/2022 |
| Last Update Date | 07/24/2023 |
| Certification Date | 07/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427701937 | NPI | - | NPPES |
| 164883 | Medicaid | AZ | |
| CSLG11865 | Other | AZ | AZ COUNSELING FACILITY LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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