Sun Path Wholeness | |
1961 N Avenida Azahar Tucson AZ 85745-1660 | |
(520) 375-9055 | |
Not Available |
Full Name | Sun Path Wholeness |
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Speciality | Clinic/Center |
Location | 1961 N Avenida Azahar, Tucson, Arizona |
Authorized Official Name and Position | Greg Loebel (DIRECTOR) |
Authorized Official Contact | 5203759055 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sun Path Wholeness 405 E Wetmore Rd Ste 117-512 Tucson AZ 85705-1717 Ph: (520) 375-9055 | Sun Path Wholeness 1961 N Avenida Azahar Tucson AZ 85745-1660 Ph: (520) 375-9055 |
NPI Number | 1952099889 |
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Provider Enumeration Date | 04/27/2023 |
Last Update Date | 01/10/2024 |
Certification Date | 01/10/2024 |
Medicare PECOS PAC ID | 5395190516 |
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Medicare Enrollment ID | O20231009000926 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952099889 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Greg Alma Loebel |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1073278883 PECOS PAC ID: 4385099506 Enrollment ID: I20231010000527 |
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