| Valley Resilient Wellness Llc | |
| 
					45 E Monterey Way Ste 201 Phoenix AZ 85012-2757  | |
| (480) 369-9261 | |
| Not Available | 
| Full Name | Valley Resilient Wellness Llc | 
|---|---|
| Speciality | Community/behavioral Health | 
| Location | 45 E Monterey Way Ste 201, Phoenix, Arizona | 
| Authorized Official Name and Position | Dominecaa White (CEO/CLINICIAN) | 
| Authorized Official Contact | 4803699261 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Valley Resilient Wellness Llc 45 E Monterey Way Ste 201 Phoenix AZ 85012-2757 Ph: (480) 369-9261  | Valley Resilient Wellness Llc 45 E Monterey Way Ste 201 Phoenix AZ 85012-2757 Ph: (480) 369-9261  | 
| NPI Number | 1760173645 | 
|---|---|
| Provider Enumeration Date | 05/19/2023 | 
| Last Update Date | 05/19/2023 | 
| Certification Date | 05/19/2023 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1760173645 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary | 
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