| Theresa Seward, Pllc | |
|
12301 W Bell Rd Ste A102 Surprise AZ 85378-9707 | |
| (623) 330-1099 | |
| (623) 583-3888 |
| Full Name | Theresa Seward, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 12301 W Bell Rd Ste A102, Surprise, Arizona |
| Authorized Official Name and Position | Theresa Seward (OWNER) |
| Authorized Official Contact | 6233301099 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa Seward, Pllc Po Box 2078 Sun City AZ 85372-2078 Ph: (623) 330-1099 | Theresa Seward, Pllc 12301 W Bell Rd Ste A102 Surprise AZ 85378-9707 Ph: (623) 330-1099 |
| NPI Number | 1306614714 |
|---|---|
| Provider Enumeration Date | 12/14/2023 |
| Last Update Date | 12/14/2023 |
| Certification Date | 12/14/2023 |
| Medicare PECOS PAC ID | 8729421995 |
|---|---|
| Medicare Enrollment ID | O20240206000110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306614714 | NPI | - | NPPES |
| Provider Name | Theresa Marie Seward |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942416847 PECOS PAC ID: 9638512809 Enrollment ID: I20240206000129 |
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