| Mort Mori | |
|
6344 E Broadway Rd Ste 107 Mesa AZ 85206-1634 | |
| (602) 888-0910 | |
| Not Available |
| Full Name | Mort Mori |
|---|---|
| Speciality | Clinic/Center |
| Location | 6344 E Broadway Rd Ste 107, Mesa, Arizona |
| Authorized Official Name and Position | Monique A. Mort (CFO) |
| Authorized Official Contact | 5203607292 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mort Mori 6344 E Broadway Rd Ste 107 Mesa AZ 85206-1634 Ph: () - | Mort Mori 6344 E Broadway Rd Ste 107 Mesa AZ 85206-1634 Ph: (602) 888-0910 |
| NPI Number | 1407622921 |
|---|---|
| Provider Enumeration Date | 11/27/2023 |
| Last Update Date | 08/06/2024 |
| Certification Date | 08/06/2024 |
| Medicare PECOS PAC ID | 1355889056 |
|---|---|
| Medicare Enrollment ID | O20240813001695 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407622921 | NPI | - | NPPES |
| Provider Name | Monique A Mort |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033484381 PECOS PAC ID: 5991243693 Enrollment ID: I20250320003183 |
Wendy Hart Ph.d., Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2222 S Dobson Rd, Suite 1004, Mesa, AZ 85202 Phone: 480-775-8811 Fax: 480-775-8866 | |
Maricopa County Special Health Care District Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 570 W Brown Rd, Mesa, AZ 85201 Phone: 602-344-8178 Fax: 602-344-8122 | |
Supreme Positive Innovation Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1833 W Main St Ste 139-140, Mesa, AZ 85201 Phone: 602-757-6786 | |
East Valley Child Psychology Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1910 S Stapley Dr Ste 221, Mesa, AZ 85204 Phone: 480-202-1285 | |
Ohana Behavioral Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2735 E Main St Ste 9, Mesa, AZ 85213 Phone: 619-823-9444 | |
Circle Of Hope Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1550 E University Dr # P7, Mesa, AZ 85203 Phone: 480-597-4980 | |
Madcap Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2266 S Dobson Rd Ste 230, Mesa, AZ 85202 Phone: 602-767-7115 |