| Journey Of Hope Healing Center Llc | |
|
6335 E Main St Ste D Mesa AZ 85205-8948 | |
| (800) 983-3846 | |
| Not Available |
| Full Name | Journey Of Hope Healing Center Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 6335 E Main St Ste D, Mesa, Arizona |
| Authorized Official Name and Position | India Samuels (NP) |
| Authorized Official Contact | 8009833846 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Journey Of Hope Healing Center Llc 6335 E Main St Ste D Mesa AZ 85205-8948 Ph: (480) 932-4430 | Journey Of Hope Healing Center Llc 6335 E Main St Ste D Mesa AZ 85205-8948 Ph: (800) 983-3846 |
| NPI Number | 1225754849 |
|---|---|
| Provider Enumeration Date | 10/14/2022 |
| Last Update Date | 03/25/2025 |
| Certification Date | 03/25/2025 |
| Medicare PECOS PAC ID | 0547626855 |
|---|---|
| Medicare Enrollment ID | O20230511001191 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225754849 | NPI | - | NPPES |
| Provider Name | Ana P Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548741812 PECOS PAC ID: 6800121831 Enrollment ID: I20190715000537 |
| Provider Name | India L Samuels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407283294 PECOS PAC ID: 9537397187 Enrollment ID: I20210505002545 |
| Provider Name | Anna Sandra Kirby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679339915 PECOS PAC ID: 8123569282 Enrollment ID: I20240917003343 |
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