| Liv Well Behavioral | |
|
2150 S Country Club Dr Ste 27 Mesa AZ 85210-6860 | |
| (602) 856-6535 | |
| Not Available |
| Full Name | Liv Well Behavioral |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2150 S Country Club Dr Ste 27, Mesa, Arizona |
| Authorized Official Name and Position | Jovanni Cedeno (COO) |
| Authorized Official Contact | 3122732757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liv Well Behavioral 2150 S Country Club Dr Ste 27 Mesa AZ 85210-6860 Ph: () - | Liv Well Behavioral 2150 S Country Club Dr Ste 27 Mesa AZ 85210-6860 Ph: (602) 856-6535 |
| NPI Number | 1497509509 |
|---|---|
| Provider Enumeration Date | 04/15/2024 |
| Last Update Date | 04/15/2024 |
| Certification Date | 04/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497509509 | NPI | - | NPPES |
| BH9812 | Other | AZ | ADHS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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