| Lifewell Behavioral Wellness | |
|
4451 E Oak St Phoenix AZ 85008-2410 | |
| (602) 808-2800 | |
| (602) 808-2799 |
| Full Name | Lifewell Behavioral Wellness |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4451 E Oak St, Phoenix, Arizona |
| Authorized Official Name and Position | Doris Vaught (EXECUTIVE VICE PRESIDENT/CFO) |
| Authorized Official Contact | 6025995420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifewell Behavioral Wellness 202 E Earll Drive Suite 200 Phoenix AZ 85012-2647 Ph: (602) 808-2800 | Lifewell Behavioral Wellness 4451 E Oak St Phoenix AZ 85008-2410 Ph: (602) 808-2800 |
| NPI Number | 1790160141 |
|---|---|
| Provider Enumeration Date | 07/28/2015 |
| Last Update Date | 10/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790160141 | NPI | - | NPPES |
| 037418 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0TC7467 (Arizona) | Primary |
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