| Supreme Positive Innovation Services Llc | |
|
1833 W Main St Ste 139-140 Mesa AZ 85201-6922 | |
| (602) 757-6786 | |
| Not Available |
| Full Name | Supreme Positive Innovation Services Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1833 W Main St Ste 139-140, Mesa, Arizona |
| Authorized Official Name and Position | Katelyn Marie Tamas (MANAGING PARTNER) |
| Authorized Official Contact | 6027576786 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supreme Positive Innovation Services Llc 1833 W Main St Ste 139-140 Mesa AZ 85201-6922 Ph: (602) 757-6786 | Supreme Positive Innovation Services Llc 1833 W Main St Ste 139-140 Mesa AZ 85201-6922 Ph: (602) 757-6786 |
| NPI Number | 1215544903 |
|---|---|
| Provider Enumeration Date | 09/26/2020 |
| Last Update Date | 09/28/2020 |
| Certification Date | 09/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215544903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Wendy Hart Ph.d., Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2222 S Dobson Rd, Suite 1004, Mesa, AZ 85202 Phone: 480-775-8811 Fax: 480-775-8866 | |
Maricopa Special Health Care District Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 570 W Brown Rd, Mesa, AZ 85201 Phone: 602-344-8178 Fax: 602-344-8122 | |
Supreme Positive Innovation Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1833 W Main St Ste 139-140, Mesa, AZ 85201 Phone: 602-757-6786 | |
East Valley Child Psychology Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1910 S Stapley Dr Ste 221, Mesa, AZ 85204 Phone: 480-202-1285 | |
Ohana Behavioral Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2735 E Main St Ste 9, Mesa, AZ 85213 Phone: 619-823-9444 | |
Circle Of Hope Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1550 E University Dr # P7, Mesa, AZ 85203 Phone: 480-597-4980 | |
Madcap Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2266 S Dobson Rd Ste 230, Mesa, AZ 85202 Phone: 602-767-7115 |