| Therapy With Purpose | |
|
8607 N 59th Ave Ste C1 Glendale AZ 85302-5435 | |
| (480) 404-0844 | |
| Not Available |
| Full Name | Therapy With Purpose |
|---|---|
| Speciality | Social Worker |
| Location | 8607 N 59th Ave Ste C1, Glendale, Arizona |
| Authorized Official Name and Position | Brianna S Marshall (MANAGER) |
| Authorized Official Contact | 5592743801 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapy With Purpose Po Box 6237 Goodyear AZ 85338-0621 Ph: (480) 404-0844 | Therapy With Purpose 8607 N 59th Ave Ste C1 Glendale AZ 85302-5435 Ph: (480) 404-0844 |
| NPI Number | 1194491399 |
|---|---|
| Provider Enumeration Date | 08/18/2021 |
| Last Update Date | 10/22/2024 |
| Certification Date | 10/22/2024 |
| Medicare PECOS PAC ID | 1951791797 |
|---|---|
| Medicare Enrollment ID | O20211209001104 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194491399 | NPI | - | NPPES |
| Provider Name | Brianna Shacole Marshall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770140626 PECOS PAC ID: 9133520497 Enrollment ID: I20211209001157 |
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