| Dakota Valley Healing, Llc | |
|
2680 S Val Vista Dr Ste 143 Gilbert AZ 85295-1621 | |
| (602) 565-4014 | |
| Not Available |
| Full Name | Dakota Valley Healing, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2680 S Val Vista Dr Ste 143, Gilbert, Arizona |
| Authorized Official Name and Position | Ulonda Old Coyote (MEMBER) |
| Authorized Official Contact | 6025654014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dakota Valley Healing, Llc 2680 S Val Vista Dr Ste 143 Gilbert AZ 85295-1621 Ph: (602) 565-4014 | Dakota Valley Healing, Llc 2680 S Val Vista Dr Ste 143 Gilbert AZ 85295-1621 Ph: (602) 565-4014 |
| NPI Number | 1760158554 |
|---|---|
| Provider Enumeration Date | 08/20/2021 |
| Last Update Date | 08/20/2021 |
| Certification Date | 08/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760158554 | NPI | - | NPPES |
| 1801252200 | Medicaid | AZ |
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