Organization
NEW MERVEILLE LLC
Active
Organization
NEW MERVEILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESIRE NKOMEZI (OWNER)
(817) 707-2798
Entity
Organization
Contact information
Practice address
2375 E CAMELBACK RD STE 600, PHOENIX, AZ 85016-3493
(817) 707-2798
Mailing address
4821 N 108TH AVE, PHOENIX, AZ 85037-5471
(817) 707-2798
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
01/29/2024
Last updated
03/21/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up