| The Act Of Healing Llc | |
|
1166 E Warner Rd Suite 101t Gilbert AZ 85296-3064 | |
| (480) 375-1317 | |
| Not Available |
| Full Name | The Act Of Healing Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1166 E Warner Rd, Gilbert, Arizona |
| Authorized Official Name and Position | Benjamin J De Jesus (OWNER) |
| Authorized Official Contact | 4803751317 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Act Of Healing Llc 1166 E Warner Rd Suite 101t Gilbert AZ 85296-3064 Ph: (480) 375-1317 | The Act Of Healing Llc 1166 E Warner Rd Suite 101t Gilbert AZ 85296-3064 Ph: (480) 375-1317 |
| NPI Number | 1174979603 |
|---|---|
| Provider Enumeration Date | 05/13/2016 |
| Last Update Date | 05/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174979603 | NPI | - | NPPES |
| 1649695164 | Other | AZ | INDIVIDUAL NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 16081 (Arizona) | Primary |
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