Organization
HEAL VALLEY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANDRY KWIZERA RN (ADMINISTRATOR)
(857) 264-7049
Entity
Organization
Contact information
Practice address
1737 E BASELINE RD, 105, GILBERT, AZ 85233
(857) 264-7049
Mailing address
1737 E BASELINE RD, 105, GILBERT, AZ 85233
(857) 264-7049
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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