Organization
CORE SELF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAELA BEAVER DNP, ARNP (OWNER)
(520) 346-0831
Entity
Organization
Contact information
Practice address
1600 W CHANDLER BLVD STE 100, CHANDLER, AZ 85224-6100
(520) 346-0831
(520) 422-5545
Mailing address
1600 W CHANDLER BLVD STE 100, CHANDLER, AZ 85224-6100
(480) 719-7400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
03/03/2025
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