| Pushing Boundaries Llc | |
|
2645 E Cactus Rd Apt 158 Phoenix AZ 85032-7087 | |
| (818) 458-0865 | |
| Not Available |
| Full Name | Pushing Boundaries Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2645 E Cactus Rd Apt 158, Phoenix, Arizona |
| Authorized Official Name and Position | Austin Pohevitz (OWNER) |
| Authorized Official Contact | 8184580865 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pushing Boundaries Llc 4022 E Greenway Rd Ste 11 Phoenix AZ 85032-4733 Ph: () - | Pushing Boundaries Llc 2645 E Cactus Rd Apt 158 Phoenix AZ 85032-7087 Ph: (818) 458-0865 |
| NPI Number | 1689373771 |
|---|---|
| Provider Enumeration Date | 02/27/2023 |
| Last Update Date | 02/27/2023 |
| Certification Date | 02/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689373771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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