| Revealed Pllc | |
|
2309 W Long Shadow Trl Phoenix AZ 85085-6084 | |
| (907) 590-5015 | |
| Not Available |
| Full Name | Revealed Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2309 W Long Shadow Trl, Phoenix, Arizona |
| Authorized Official Name and Position | Melodie Simmons (CEO/FOUNDER) |
| Authorized Official Contact | 9075905015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revealed Pllc 2309 W Long Shadow Trl Phoenix AZ 85085-6084 Ph: (907) 590-5015 | Revealed Pllc 2309 W Long Shadow Trl Phoenix AZ 85085-6084 Ph: (907) 590-5015 |
| NPI Number | 1184310732 |
|---|---|
| Provider Enumeration Date | 04/17/2023 |
| Last Update Date | 04/17/2023 |
| Certification Date | 04/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184310732 | NPI | - | NPPES |
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