Organization
NOVA VIA GLENDALE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE JOLLY (CHIEF COMPLIANCE OFFICER)
(480) 543-7432
Entity
Organization
Contact information
Practice address
6830 N 55TH AVE, SUITE 100, GLENDALE, AZ 85301
(480) 543-7432
Mailing address
6830 N 55TH AVE, SUITE 100, GLENDALE, AZ 85301
(480) 543-7432
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
106S00000X
Behavior Technician
—
—
111N00000X
Chiropractor
—
—
133N00000X
Nutritionist
—
—
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
202D00000X
Integrative Medicine Physician
Primary
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
207QA0505X
Adult Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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