| Rebel Care Pllc | |
|
2 N Central Ave Ste 1800 Phoenix AZ 85004-2139 | |
| (857) 756-7678 | |
| Not Available |
| Full Name | Rebel Care Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2 N Central Ave Ste 1800, Phoenix, Arizona |
| Authorized Official Name and Position | Kusum Jagdish Chanrai (GENERAL MANAGER) |
| Authorized Official Contact | 8577567678 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebel Care Pllc 2 N Central Ave Ste 1800 Phoenix AZ 85004-2139 Ph: (857) 756-7678 | Rebel Care Pllc 2 N Central Ave Ste 1800 Phoenix AZ 85004-2139 Ph: (857) 756-7678 |
| NPI Number | 1295501625 |
|---|---|
| Provider Enumeration Date | 11/27/2023 |
| Last Update Date | 08/08/2024 |
| Certification Date | 08/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295501625 | NPI | - | NPPES |
| 1841434123 | Other | AZ | CLINICAL PSYCHOLOGIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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