| Peak Mental Health Llc | |
|
7301 N 16th St Ste 102 Phoenix AZ 85020-5266 | |
| (828) 773-4681 | |
| Not Available |
| Full Name | Peak Mental Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7301 N 16th St Ste 102, Phoenix, Arizona |
| Authorized Official Name and Position | Brent Whitley (PSYCHIATRIC NURSE PRACTITIONER) |
| Authorized Official Contact | 8287734681 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peak Mental Health Llc 7301 N 16th St Ste 102 Phoenix AZ 85020-5266 Ph: () - | Peak Mental Health Llc 7301 N 16th St Ste 102 Phoenix AZ 85020-5266 Ph: (828) 773-4681 |
| NPI Number | 1912626193 |
|---|---|
| Provider Enumeration Date | 08/23/2022 |
| Last Update Date | 12/13/2022 |
| Certification Date | 12/13/2022 |
| Medicare PECOS PAC ID | 0840669800 |
|---|---|
| Medicare Enrollment ID | O20221214000135 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912626193 | NPI | - | NPPES |
| 066208 | Medicaid | AZ |
| Provider Name | Brent T Whitley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316317704 PECOS PAC ID: 2062714413 Enrollment ID: I20151231001735 |
| Provider Name | Nicole Marie Dressler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972179687 PECOS PAC ID: 9032510904 Enrollment ID: I20210629003098 |
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