| Black Potatoe Llc | |
|
6424 E Greenway Pkwy Ste 145 Scottsdale AZ 85254-2045 | |
| (480) 718-3827 | |
| Not Available |
| Full Name | Black Potatoe Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 6424 E Greenway Pkwy Ste 145, Scottsdale, Arizona |
| Authorized Official Name and Position | Amy Williams (OWNER) |
| Authorized Official Contact | 4807183827 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Black Potatoe Llc 6424 E Greenway Pkwy Ste 145 Scottsdale AZ 85254-2045 Ph: () - | Black Potatoe Llc 6424 E Greenway Pkwy Ste 145 Scottsdale AZ 85254-2045 Ph: (480) 718-3827 |
| NPI Number | 1235606419 |
|---|---|
| Provider Enumeration Date | 10/25/2018 |
| Last Update Date | 09/24/2020 |
| Certification Date | 09/24/2020 |
| Medicare PECOS PAC ID | 3072856145 |
|---|---|
| Medicare Enrollment ID | O20191008002379 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235606419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Amy Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336547983 PECOS PAC ID: 2860776796 Enrollment ID: I20170221001827 |
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