| Community Pillars Llc | |
|
245 W 2nd St Ste 21 Mesa AZ 85201-6556 | |
| (602) 743-5561 | |
| Not Available |
| Full Name | Community Pillars Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 245 W 2nd St Ste 21, Mesa, Arizona |
| Authorized Official Name and Position | Jeremi Taylor (CEO) |
| Authorized Official Contact | 6027435561 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Pillars Llc 245 W 2nd St Ste 21 Mesa AZ 85201-6556 Ph: (602) 743-5561 | Community Pillars Llc 245 W 2nd St Ste 21 Mesa AZ 85201-6556 Ph: (602) 743-5561 |
| NPI Number | 1215751920 |
|---|---|
| Provider Enumeration Date | 11/09/2024 |
| Last Update Date | 10/07/2025 |
| Certification Date | 10/07/2025 |
| Medicare PECOS PAC ID | 3870016215 |
|---|---|
| Medicare Enrollment ID | O20250326003326 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215751920 | NPI | - | NPPES |
| 237707 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Rose L Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336540459 PECOS PAC ID: 2860614088 Enrollment ID: I20141103002610 |
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