Organization
MESA HEALTH AND COMMUNITY RESOURCE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE D COLLINS (OWNER)
(480) 825-8285
Entity
Organization
Contact information
Practice address
7435 E MAIN ST STE 102, MESA, AZ 85207-8337
(480) 825-8285
Mailing address
4539 N 22ND ST STE B, PHOENIX, AZ 85016-4639
(520) 422-2279
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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