| Wevolve Llc | |
|
1136 E Harmony Ave Ste 101 Mesa AZ 85204-5844 | |
| (623) 252-3477 | |
| Not Available |
| Full Name | Wevolve Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1136 E Harmony Ave Ste 101, Mesa, Arizona |
| Authorized Official Name and Position | Tawanna Wren (OWNER) |
| Authorized Official Contact | 6232523477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wevolve Llc 6935 Aliante Pkwy # 104-109 North Las Vegas NV 89084-5818 Ph: (623) 252-3477 | Wevolve Llc 1136 E Harmony Ave Ste 101 Mesa AZ 85204-5844 Ph: (623) 252-3477 |
| NPI Number | 1700593860 |
|---|---|
| Provider Enumeration Date | 10/28/2022 |
| Last Update Date | 05/12/2023 |
| Certification Date | 05/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700593860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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