Organization
ELEUTHERIA, LLC
Active
Other names
The Wellness Center, Eleutheria Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERESA CHACE MS SLP-CCC (OWNER/SPEECH LANGUAGE PATHOLOGIST)
(623) 698-5747
Entity
Organization
Contact information
Practice address
13385 W MCDOWELL RD, GOODYEAR, AZ 85395-2631
(623) 986-5110
(623) 207-9683
Mailing address
13385 W MCDOWELL RD, GOODYEAR, AZ 85395-2631
(623) 986-5110
(623) 207-9683
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
5407
AZ
225100000X
Physical Therapist
—
—
225700000X
Massage Therapist
MT14880
AZ
225X00000X
Occupational Therapist
4415
AZ
225X00000X
Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
SLPA7585
AZ
235Z00000X
Speech-Language Pathologist
SLP4009
AZ
235Z00000X
Speech-Language Pathologist
Primary
SLP5608
AZ
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
02/06/2012
Last updated
12/10/2020
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