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Organization
JOVEN HEALTH, LLC
Active
Organization
JOVEN HEALTH, LLC
Active
Parent organization
SOCIAL FABRIC, LLC
Other names
Joven Health, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOCIAL FABRIC, LLC
Authorized official
TYLER LEE MCCORD LMSW (DIRECTOR OF BUSINESS DEVELOPMENT)
(734) 486-5579
Entity
Organization
Contact information
Practice address
3635 E LARSON LN, GILBERT, AZ 85295-7229
(734) 486-5579
Mailing address
3854 S HALIFAX ST, AURORA, CO 80013-3973
(734) 486-5579
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
NULL
106H00000X
Marriage & Family Therapist
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/21/2020
Last updated
07/22/2020
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