| Banner Telehealth LLC | |
|
2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 | |
| (602) 747-4000 | |
| Not Available |
| Full Name | Banner Telehealth LLC |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2901 N Central Ave Ste 160, Phoenix, Arizona |
| Authorized Official Name and Position | Paris Labruzzo (SR DIRECTOR) |
| Authorized Official Contact | 6027474000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Banner Telehealth LLC 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 | Banner Telehealth LLC 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: (602) 747-4000 |
| NPI Number | 1649910209 |
|---|---|
| Provider Enumeration Date | 03/31/2022 |
| Last Update Date | 03/27/2026 |
| Certification Date | 03/27/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649910209 | NPI | - | NPPES |
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