Organization
NEW MERVEILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY ANN EDWARDS PMHNP (MEDICAL DIRECTOR)
(602) 639-0571
Entity
Organization
Contact information
Practice address
2375 E CAMELBACK RD STE 600, PHOENIX, AZ 85016-3493
(602) 263-4706
Mailing address
2375 E CAMELBACK RD STE 600, PHOENIX, AZ 85016-3493
(602) 263-4706
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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