Organization
PIVOT WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARITA EDWARDS (MANAGING MEMBER)
(404) 680-6887
Entity
Organization
Contact information
Practice address
10654 N 60TH AVE APT 2019, GLENDALE, AZ 85304-3784
(404) 680-6887
Mailing address
10654 N 60TH AVE APT 2019, GLENDALE, AZ 85304-3784
(404) 680-6887
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
05/27/2024
Last updated
05/27/2024
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