| Healing Hartze, Pllc | |
|
17505 N 79th Ave Ste 105 Glendale AZ 85308-8724 | |
| (602) 989-8899 | |
| (602) 900-0969 |
| Full Name | Healing Hartze, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 17505 N 79th Ave Ste 105, Glendale, Arizona |
| Authorized Official Name and Position | January Hartze (CEO/OWNER) |
| Authorized Official Contact | 6029898899 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Hartze, Pllc 17505 N 79th Ave Ste 105 Glendale AZ 85308-8724 Ph: (602) 989-8899 | Healing Hartze, Pllc 17505 N 79th Ave Ste 105 Glendale AZ 85308-8724 Ph: (602) 989-8899 |
| NPI Number | 1043982747 |
|---|---|
| Provider Enumeration Date | 09/30/2021 |
| Last Update Date | 10/22/2024 |
| Certification Date | 10/22/2024 |
| Medicare PECOS PAC ID | 9436596137 |
|---|---|
| Medicare Enrollment ID | O20240318000556 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043982747 | NPI | - | NPPES |
| 1164242202 | Other | AZ | MATTHEW GORZELANY |
| 1477319762 | Other | AZ | JAYDEN DODEN NPI |
| CSLG13337 | Other | AZ | ARIZONA DEPARTMENT OF HEALTH SERVICES |
| 1184486821 | Other | AZ | CAMERON TOEPFER NPI |
| 1740851542 | Other | AZ | JANUARY HARTZE INDIVIDUAL NPI |
| 1750141859 | Other | AZ | CAROLINE MELLON |
| 1851153928 | Other | AZ | BRENT DOWNEY NPI |
| 1881473544 | Other | AZ | REBECCA TESLOW NPI |
| 1154183226 | Other | AZ | LYNNETTE CRAMER NPI |
| 125011 | Medicaid | AZ | |
| 1831848787 | Other | AZ | CELESTE STRONG NPI TYPE 1 |
| 1396443156 | Other | AZ | SUZIE LOCKWOOD NPI |
| 1740016690 | Other | AZ | ANNALIT CROSBY |
| 1740048552 | Other | AZ | MADELINE LYON NPI |
| 1215799382 | Other | AZ | CLAUDIA HOWARD NPI |
| 1639931702 | Other | AZ | BRANDY STITH NPI |
| 1750141859 | Other | AZ | EMILY REISSEN |
| 1043982747 | Other | AZ | HEALING HARTZE PLLC TYPE 2 NPI |
| 1447081534 | Other | AZ | BREANN LOPRESTO |
| 1457118572 | Other | AZ | SARAH BROWN NPI |
| CSLG13230 | Other | AZ | ARIZONA DEPARTMENT OF HEALTH SERVICES |
| 1992549190 | Other | AZ | CURTIS WILMER NPI |
| 1104665959 | Other | AZ | AMANDA SCOTT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | January Hartze |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740851542 PECOS PAC ID: 5395182083 Enrollment ID: I20240318000413 |
| Provider Name | Celeste Juni Strong |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831848787 PECOS PAC ID: 6507394269 Enrollment ID: I20250108001863 |
| Provider Name | Claudia Howard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215799382 PECOS PAC ID: 6002336211 Enrollment ID: I20250218003173 |
| Provider Name | Suzanne Basco |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710588967 PECOS PAC ID: 7416477369 Enrollment ID: I20250221000894 |
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