Organization
IMUA CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMANTHA KALILIKANE PSY.D. (PRESIDENT)
(727) 416-1642
Entity
Organization
Contact information
Practice address
9221 E BASELINE RD STE 109-248, MESA, AZ 85209-8310
(727) 416-1642
Mailing address
9221 E BASELINE RD STE 109-248, MESA, AZ 85209-8310
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
04/09/2025
Last updated
04/01/2026
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