Push Wellness Llc | |
2821 N 33rd Ave Ste 9 Phoenix AZ 85009-1425 | |
(281) 216-2620 | |
Not Available |
Full Name | Push Wellness Llc |
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Speciality | Clinic/Center |
Location | 2821 N 33rd Ave Ste 9, Phoenix, Arizona |
Authorized Official Name and Position | Sheena Naylor (VICE PRESIDENT) |
Authorized Official Contact | 2812162620 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Push Wellness Llc 2821 N 33rd Ave Ste 9 Phoenix AZ 85009-1425 Ph: (281) 216-2620 | Push Wellness Llc 2821 N 33rd Ave Ste 9 Phoenix AZ 85009-1425 Ph: (281) 216-2620 |
NPI Number | 1437893443 |
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Provider Enumeration Date | 04/25/2022 |
Last Update Date | 09/07/2023 |
Certification Date | 09/07/2023 |
Medicare PECOS PAC ID | 2769852623 |
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Medicare Enrollment ID | O20230110002546 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437893443 | NPI | - | NPPES |
Provider Name | Lashunda Armstrong |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1174149074 PECOS PAC ID: 7810367125 Enrollment ID: I20230103001064 |
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