| Valley Spring Behavioral Health Llc | |
|
599 Marina Blvd Ste A Bullhead City AZ 86442-5477 | |
| (480) 206-8584 | |
| (602) 854-7290 |
| Full Name | Valley Spring Behavioral Health Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 599 Marina Blvd Ste A, Bullhead City, Arizona |
| Authorized Official Name and Position | Patricia Wanja Muthoni (ADMINISTRATOR) |
| Authorized Official Contact | 4802068584 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Spring Behavioral Health Llc 599 Marina Blvd Ste A Bullhead City AZ 86442-5477 Ph: (480) 206-8584 | Valley Spring Behavioral Health Llc 599 Marina Blvd Ste A Bullhead City AZ 86442-5477 Ph: (480) 206-8584 |
| NPI Number | 1780367185 |
|---|---|
| Provider Enumeration Date | 08/11/2023 |
| Last Update Date | 03/07/2024 |
| Certification Date | 03/07/2024 |
| Medicare PECOS PAC ID | 7113374539 |
|---|---|
| Medicare Enrollment ID | O20231107001763 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780367185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Charity Ukwuoma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578912473 PECOS PAC ID: 7214341098 Enrollment ID: I20210208001136 |
| Provider Name | Fidelis Ebereonwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962005850 PECOS PAC ID: 5496160848 Enrollment ID: I20210216002696 |
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