| Healing Hub Integrated Clinic Llc | |
|
3420 E Shea Blvd Ste 200 Phoenix AZ 85028-3348 | |
| (602) 675-6466 | |
| Not Available |
| Full Name | Healing Hub Integrated Clinic Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3420 E Shea Blvd Ste 200, Phoenix, Arizona |
| Authorized Official Name and Position | Aline Shadyne Mahoro (CEO) |
| Authorized Official Contact | 6025244066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Hub Integrated Clinic Llc 3420 E Shea Blvd Ste 200 Phoenix AZ 85028-3348 Ph: (602) 675-6466 | Healing Hub Integrated Clinic Llc 3420 E Shea Blvd Ste 200 Phoenix AZ 85028-3348 Ph: (602) 675-6466 |
| NPI Number | 1750089637 |
|---|---|
| Provider Enumeration Date | 02/20/2023 |
| Last Update Date | 06/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750089637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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