| Innervision Az, Inc | |
|
2236 W Bethany Home Rd # 421 Phoenix AZ 85015-1934 | |
| (336) 803-9598 | |
| Not Available |
| Full Name | Innervision Az, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2236 W Bethany Home Rd # 421, Phoenix, Arizona |
| Authorized Official Name and Position | Ebony Wiggins (PRESIDENT) |
| Authorized Official Contact | 3368039598 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innervision Az, Inc 2236 W Bethany Home Rd # 421 Phoenix AZ 85015-1934 Ph: (336) 803-9598 | Innervision Az, Inc 2236 W Bethany Home Rd # 421 Phoenix AZ 85015-1934 Ph: (336) 803-9598 |
| NPI Number | 1922920107 |
|---|---|
| Provider Enumeration Date | 07/28/2026 |
| Last Update Date | 07/28/2026 |
| Certification Date | 07/28/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922920107 | NPI | - | NPPES |
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