Organization
MOODCLINICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUGHES MOHLIE ANP (OWNER/SOLE PROVIDER)
(602) 923-0436
Entity
Organization
Contact information
Practice address
7828 N 19TH AVE STE 10, PHOENIX, AZ 85021-7044
(602) 923-0436
(480) 566-0247
Mailing address
7828 N 19TH AVE STE 10, PHOENIX, AZ 85021-7044
(480) 567-0225
(480) 566-0247
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
895664
—
AZ
Enumeration date
08/10/2015
Last updated
02/28/2019
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