institution
Vivify Wellness Llc
Addiction (Substance Use Disorder) Counselor in Mesa, Arizona
NPI 1366807596

Vivify Wellness Llc is an Addiction (Substance Use Disorder) Counselor based in Queen Creek, AZ and is specialized in Addiction (Substance Use Disorder). Vivify Wellness Llc practices in Mesa, AZ. The NPI Number for Vivify Wellness Llc is 1366807596 and holds a License No. 10622 (Arizona).

The current practice location address for Vivify Wellness Llc is 2345 S Alma School Rd, Mesa, AZ and can be reached out via phone at 480-206-4753.

Location: 2345 S Alma School Rd, Mesa, AZ, 85142-3622
institution
Provider Profile Details
NPI Number
1366807596
Provider Name
Vivify Wellness Llc
Credential
Provider Entity Type
Organization
Address
2345 S Alma School Rd, Mesa, AZ, 85142-3622
Phone Number
480-206-4753
Fax Number
Provider Enumeration Date
12/14/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10622 01 AZ LICENSE
institution
Provider Business Practice Location Address Details
Address
2345 S Alma School Rd
City
State
Zip
85210-4012
Phone Number
480-206-4753
Fax Number
person
Provider Business Mailing Address Details
Address
2345 S Alma School Rd
City
State
Zip
85210-4012
Phone Number
480-206-4753
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
10622 (Arizona)
Definition
Definition to come...
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