| Mental Health Refreshed LLC | |
|
4419 W Josephine St San Tan Valley AZ 85144-0317 | |
| (480) 434-0189 | |
| Not Available |
| Full Name | Mental Health Refreshed LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 4419 W Josephine St, San Tan Valley, Arizona |
| Authorized Official Name and Position | Teresa Kangethe (OWNER) |
| Authorized Official Contact | 4804340189 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health Refreshed LLC 4419 W Josephine St San Tan Valley AZ 85144-0317 | Mental Health Refreshed LLC 4419 W Josephine St San Tan Valley AZ 85144-0317 Ph: (480) 434-0189 |
| NPI Number | 1235934431 |
|---|---|
| Provider Enumeration Date | 02/13/2025 |
| Last Update Date | 02/14/2025 |
| Certification Date | 02/14/2025 |
| Medicare PECOS PAC ID | 4284138991 |
|---|---|
| Medicare Enrollment ID | O20250916004680 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235934431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Primary |
| Provider Name | Teresa M Kangethe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982467395 PECOS PAC ID: 4486186640 Enrollment ID: I20241014002583 |
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