Visions Of Hue, Llc | |
15213 W Jackson St Goodyear AZ 85338-2997 | |
(602) 332-6699 | |
(623) 500-5372 |
Full Name | Visions Of Hue, Llc |
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Speciality | Counselor - Mental Health |
Location | 15213 W Jackson St, Goodyear, Arizona |
Authorized Official Name and Position | Ricky Prempeh (CHIEF OPERATING OFFICER/ADMINISTRAT) |
Authorized Official Contact | 6023326699 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Visions Of Hue, Llc 11826 W Lupine Ave El Mirage AZ 85335-5050 Ph: (602) 332-6699 | Visions Of Hue, Llc 15213 W Jackson St Goodyear AZ 85338-2997 Ph: (602) 332-6699 |
NPI Number | 1821563586 |
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Provider Enumeration Date | 10/09/2018 |
Last Update Date | 10/09/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821563586 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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