| Healing Continually Center Llc | |
| 2538 E University Dr Ste 280 Phoenix AZ 85034-6947 | |
| (214) 335-9784 | |
| (970) 695-7751 | 
| Full Name | Healing Continually Center Llc | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 2538 E University Dr Ste 280, Phoenix, Arizona | 
| Authorized Official Name and Position | Sophie Gwelo (MANAGING DIRECTOR) | 
| Authorized Official Contact | 2143359784 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Healing Continually Center Llc 8050 S Pointe Pkwy W Apt 1056 Phoenix AZ 85044-5419 Ph: (214) 335-9784 | Healing Continually Center Llc 2538 E University Dr Ste 280 Phoenix AZ 85034-6947 Ph: (214) 335-9784 | 
| NPI Number | 1184446247 | 
|---|---|
| Provider Enumeration Date | 10/29/2024 | 
| Last Update Date | 04/05/2025 | 
| Certification Date | 04/05/2025 | 
| Medicare PECOS PAC ID | 9032634720 | 
|---|---|
| Medicare Enrollment ID | O20250415002289 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1184446247 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary | 
| Provider Name | Sophie Gwelo | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1104419282 PECOS PAC ID: 7416366331 Enrollment ID: I20210505003167 | 
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