| Higher Heights Human Services Llc | |
|
615 W Cottonwood Ln Ste 5-6 Casa Grande AZ 85122-2250 | |
| (702) 772-5488 | |
| Not Available |
| Full Name | Higher Heights Human Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 615 W Cottonwood Ln Ste 5-6, Casa Grande, Arizona |
| Authorized Official Name and Position | Cortez Taylor (OWNER) |
| Authorized Official Contact | 5203529988 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Higher Heights Human Services Llc 615 W Cottonwood Ln Ste 5-6 Casa Grande AZ 85122-2250 Ph: (520) 352-9988 | Higher Heights Human Services Llc 615 W Cottonwood Ln Ste 5-6 Casa Grande AZ 85122-2250 Ph: (702) 772-5488 |
| NPI Number | 1013508084 |
|---|---|
| Provider Enumeration Date | 02/01/2021 |
| Last Update Date | 11/09/2021 |
| Certification Date | 11/09/2021 |
| Medicare PECOS PAC ID | 2466857149 |
|---|---|
| Medicare Enrollment ID | O20210818001618 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013508084 | NPI | - | NPPES |
| Provider Name | Rochelle Hooper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457942815 PECOS PAC ID: 5698170397 Enrollment ID: I20210818002367 |
| Provider Name | Sandra Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730652819 PECOS PAC ID: 0547509317 Enrollment ID: I20220602002381 |
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