Mental Health Azforvets Llc

LBN: Mental Health Azforvets Llc
Mental Health Azforvets Llc is an health care organization with primary practice located at 20469 N 95Th Dr , Peoria AZ 85382-5133. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as the primary health care specialty. Mental Health Azforvets Llc can be contacted via phone (248) 821-8587, or through Freeman, Varonica via phone (513) 260-9643.

Contact Information

Primary practice address
20469 N 95Th Dr Peoria AZ 85382-5133
Phone: (248) 821-8587
Fax: (855) 300-5330
Website:
Map and Directions
Authorized official contact:
Name: Freeman, Varonica
Phone: (513) 260-9643

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1821632126
LBN Legal business name Mental Health Azforvets Llc
DBA Doing business as
Authorized official Freeman, Varonica
Entity Organization
Organization subpart 1 No
Enumeration date Oct 30th, 2019
Last updated Oct 30th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821632126 NPPES
Arizona MEDICAID 161359

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