| Enhance Counseling & Wellness Llc | |
|
17431 N 71st Dr Ste 101 Glendale AZ 85308-8598 | |
| (623) 680-3469 | |
| (623) 248-3389 |
| Full Name | Enhance Counseling & Wellness Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 17431 N 71st Dr Ste 101, Glendale, Arizona |
| Authorized Official Name and Position | Tawny Runnels (CLINICAL DIRECTOR) |
| Authorized Official Contact | 6236803469 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Enhance Counseling & Wellness Llc 6635 W Happy Valley Rd Ste A104-148 Glendale AZ 85310-2609 Ph: (623) 680-3469 | Enhance Counseling & Wellness Llc 17431 N 71st Dr Ste 101 Glendale AZ 85308-8598 Ph: (623) 680-3469 |
| NPI Number | 1013542778 |
|---|---|
| Provider Enumeration Date | 03/03/2020 |
| Last Update Date | 04/28/2020 |
| Certification Date | 04/28/2020 |
| Medicare PECOS PAC ID | 0547614588 |
|---|---|
| Medicare Enrollment ID | O20230926001121 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013542778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Kathleen Kronn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689922502 PECOS PAC ID: 3779809660 Enrollment ID: I20240126000763 |
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