| Willa Jean Group Llc | |
|
3961 E Chandler Blvd 111-234 Phoenix AZ 85048-0303 | |
| (480) 482-8791 | |
| Not Available |
| Full Name | Willa Jean Group Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3961 E Chandler Blvd, Phoenix, Arizona |
| Authorized Official Name and Position | Twyla Webster-scott (CLINICAL THERAPIST) |
| Authorized Official Contact | 4804828791 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willa Jean Group Llc 3961 E Chandler Blvd 111-234 Phoenix AZ 85048-0303 Ph: (480) 482-8791 | Willa Jean Group Llc 3961 E Chandler Blvd 111-234 Phoenix AZ 85048-0303 Ph: (480) 482-8791 |
| NPI Number | 1467103010 |
|---|---|
| Provider Enumeration Date | 01/14/2022 |
| Last Update Date | 01/14/2022 |
| Certification Date | 01/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467103010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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