| Phoenix Wellness Center Llc | |
|
2060 W Whispering Wind Dr Ste 270 Phoenix AZ 85085 | |
| (480) 653-8434 | |
| (623) 258-4077 |
| Full Name | Phoenix Wellness Center Llc |
|---|---|
| Speciality | Counselor |
| Location | 2060 W Whispering Wind Dr Ste 270, Phoenix, Arizona |
| Authorized Official Name and Position | Tonya Kinnaman (ADMINISTRATOR) |
| Authorized Official Contact | 4806538434 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Wellness Center Llc 2060 W Whispering Wind Dr Ste 270 Phoenix AZ 85085-2869 Ph: (480) 653-8434 | Phoenix Wellness Center Llc 2060 W Whispering Wind Dr Ste 270 Phoenix AZ 85085 Ph: (480) 653-8434 |
| NPI Number | 1720572043 |
|---|---|
| Provider Enumeration Date | 06/20/2018 |
| Last Update Date | 06/21/2018 |
| Medicare PECOS PAC ID | 4284174152 |
|---|---|
| Medicare Enrollment ID | O20240905003710 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720572043 | NPI | - | NPPES |
| OTC8779 | Other | AZ | OUTPATIENT TREATMENT CENTER |
| Provider Name | Tonya Kinnaman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891014486 PECOS PAC ID: 8820538739 Enrollment ID: I20240918002306 |
| Provider Name | Janel Marie Fairchild |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902132343 PECOS PAC ID: 9739629643 Enrollment ID: I20250103002511 |
Amra Stafford, Psyd, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 67 E Weldon Ave, Suite 320, Phoenix, AZ 85012 Phone: 602-456-7565 Fax: 602-266-0234 | |
Pro Iom Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 Phone: 602-482-2282 | |
Liberty Care Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8111 N 19th Ave Apt 2038, Phoenix, AZ 85021 Phone: 602-367-7916 | |
Insight-therapy Az Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4545 E Shea Blvd Ste 235, Phoenix, AZ 85028 Phone: 602-315-4068 Fax: 602-675-2705 | |
White Tiger Integrated Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 67 E Weldon Ave Ste 220, Phoenix, AZ 85012 Phone: 603-637-7361 | |
Eden Recovery Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2538 E University Dr Ste 180, Phoenix, AZ 85034 Phone: 480-390-3375 | |
Native Country Healthcare Systems Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4805 W Thomas Rd, Phoenix, AZ 85031 Phone: 602-706-8741 |