New Merveille Llc | |
2375 E Camelback Rd Ste 600 Phoenix AZ 85016-3493 | |
(817) 707-2798 | |
Not Available |
Full Name | New Merveille Llc |
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Speciality | Community/Behavioral Health |
Location | 2375 E Camelback Rd Ste 600, Phoenix, Arizona |
Authorized Official Name and Position | Desire Nkomezi (OWNER) |
Authorized Official Contact | 8177072798 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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New Merveille Llc 4821 N 108th Ave Phoenix AZ 85037-5471 Ph: (817) 707-2798 | New Merveille Llc 2375 E Camelback Rd Ste 600 Phoenix AZ 85016-3493 Ph: (817) 707-2798 |
NPI Number | 1710749288 |
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Provider Enumeration Date | 01/29/2024 |
Last Update Date | 03/21/2025 |
Certification Date | 03/21/2025 |
Medicare PECOS PAC ID | 1456797414 |
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Medicare Enrollment ID | O20240312004016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710749288 | NPI | - | NPPES |
Provider Name | April R Ellis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285224477 PECOS PAC ID: 6204212566 Enrollment ID: I20221011000119 |
Provider Name | Danielle D Younge |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1649631664 PECOS PAC ID: 8820332083 Enrollment ID: I20230419002968 |
Provider Name | Simisola Morayo Asekun |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386380608 PECOS PAC ID: 9032587738 Enrollment ID: I20230512001752 |
Provider Name | Suma Hodge |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1700496718 PECOS PAC ID: 2062824162 Enrollment ID: I20240718002860 |
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