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Organization
PUSH WELLNESS LLC
Active
Organization
PUSH WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEENA NAYLOR (VICE PRESIDENT)
(281) 216-2620
Entity
Organization
Contact information
Practice address
2821 N 33RD AVE STE 9, PHOENIX, AZ 85009-1425
(281) 216-2620
Mailing address
2821 N 33RD AVE STE 9, PHOENIX, AZ 85009-1425
(281) 216-2620
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
04/25/2022
Last updated
09/07/2023
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