| Clarvida 2 | |
|
2131 E Broadway Rd Ste 13-19&21 Tempe AZ 85282-1737 | |
| (480) 967-6895 | |
| (480) 967-4986 |
| Full Name | Clarvida 2 |
|---|---|
| Speciality | Clinic/Center |
| Location | 2131 E Broadway Rd Ste 13-19&21, Tempe, Arizona |
| Authorized Official Name and Position | Nancy Poe (CONTRACT ADMINISTRATOR) |
| Authorized Official Contact | 5205701460 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarvida 2 2131 E Broadway Rd Ste 14 Tempe AZ 85282-1737 Ph: (480) 967-6895 | Clarvida 2 2131 E Broadway Rd Ste 13-19&21 Tempe AZ 85282-1737 Ph: (480) 967-6895 |
| NPI Number | 1114461779 |
|---|---|
| Provider Enumeration Date | 12/15/2016 |
| Last Update Date | 09/30/2025 |
| Certification Date | 09/30/2025 |
| Medicare PECOS PAC ID | 3870947203 |
|---|---|
| Medicare Enrollment ID | O20251202002228 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114461779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (NU) | Primary |
| 251S00000X | Community/behavioral Health | OTC6452 (Arizona) | Secondary |
| Provider Name | Danielle Garlington |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104544733 PECOS PAC ID: 3779070289 Enrollment ID: I20251016003562 |
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