Organization
COREBELLA HEALTH AND WELLNESS LLC
Active
Other names
Brightview Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAD SMITH (CEO)
(833) 510-4357
Entity
Organization
Contact information
Practice address
2600 E SOUTHERN AVE STE E1, TEMPE, AZ 85282-7744
(480) 542-4668
(877) 559-2816
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600
(833) 510-4357
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
4476
AZ
207QA0401X
Addiction Medicine (Family Medicine) Physician
4476
AZ
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
208VP0000X
Pain Medicine Physician
4476
AZ
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
11/21/2015
Last updated
12/02/2024
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