| Blue Bell Management Llc | |
|
108 W 1st St Casa Grande AZ 85122-4402 | |
| (520) 463-3911 | |
| Not Available |
| Full Name | Blue Bell Management Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 108 W 1st St, Casa Grande, Arizona |
| Authorized Official Name and Position | Lisa Tapia (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Contact | 5204633911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Bell Management Llc 2487 S Gilbert Rd Ste 106-163 Gilbert AZ 85295-2808 Ph: (520) 463-3911 | Blue Bell Management Llc 108 W 1st St Casa Grande AZ 85122-4402 Ph: (520) 463-3911 |
| NPI Number | 1023704954 |
|---|---|
| Provider Enumeration Date | 04/13/2023 |
| Last Update Date | 04/13/2023 |
| Certification Date | 04/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023704954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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