| Healing Edge Recovery And Wellness Center | |
|
4220 N 20th Ave Ste 100 Phoenix AZ 85015-5124 | |
| (623) 872-1818 | |
| (623) 872-1819 |
| Full Name | Healing Edge Recovery And Wellness Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 4220 N 20th Ave Ste 100, Phoenix, Arizona |
| Authorized Official Name and Position | Harsimran Singh (PRESIDENT) |
| Authorized Official Contact | 6238721818 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Edge Recovery And Wellness Center 4120 N 108th Ave Ste 116 Phoenix AZ 85037-5773 Ph: (623) 872-1818 | Healing Edge Recovery And Wellness Center 4220 N 20th Ave Ste 100 Phoenix AZ 85015-5124 Ph: (623) 872-1818 |
| NPI Number | 1790553329 |
|---|---|
| Provider Enumeration Date | 12/13/2023 |
| Last Update Date | 02/11/2025 |
| Certification Date | 02/11/2025 |
| Medicare PECOS PAC ID | 4082143680 |
|---|---|
| Medicare Enrollment ID | O20250128001826 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790553329 | NPI | - | NPPES |
| Provider Name | Harsimran Singh |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1801878962 PECOS PAC ID: 2466489323 Enrollment ID: I20050721000810 |
| Provider Name | Mandeep K Sidhu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003538844 PECOS PAC ID: 6800265265 Enrollment ID: I20221207002781 |
| Provider Name | Clarice Parham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184959637 PECOS PAC ID: 1456390277 Enrollment ID: I20240830000900 |
| Provider Name | Monica A Hamrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457172074 PECOS PAC ID: 6507189560 Enrollment ID: I20241126002329 |
| Provider Name | Diana Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386488989 PECOS PAC ID: 0749719326 Enrollment ID: I20250128000826 |
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