Progressive Living Wellness Center, Llc

LBN: Progressive Living Wellness Center, Llc
Progressive Living Wellness Center, Llc is an health care organization with primary practice located at 2177 E Warner Rd Ste 101 , Tempe AZ 85284-3511. The organization recently has 6 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Ambulatory Health Care Facilities / Recovery Care. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. Progressive Living Wellness Center, Llc can be contacted via phone (480) 773-8480, or through Getaweru, Lyddia via phone (480) 773-8480.

Contact Information

Primary practice address
2177 E Warner Rd Ste 101 Tempe AZ 85284-3511
Phone: (480) 773-8480
Fax: (480) 546-3626
Website:
Map and Directions
Authorized official contact:
Name: Getaweru, Lyddia
Phone: (480) 773-8480

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Ambulatory Health Care Facilities / Recovery Care 261QR0800X

Profile Details

NPI number 1235863531
LBN Legal business name Progressive Living Wellness Center, Llc
DBA Doing business as
Authorized official Getaweru, Lyddia
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2022
Last updated Jul 12th, 2022 - about 2 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 1235863531 NPPES
Arizona MEDICAID BH7784

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