Organization
ARIZONA INTERGRATED TELE PSYCHIATRY AND TELE MEDICINE SERVICES LLC
Active
Organization
ARIZONA INTERGRATED TELE PSYCHIATRY AND TELE MEDICINE SERVICES LLC
Active
Other names
AZITTS
Organization subpart
No
Provider details
NPI number
Authorized official
MEDINA KAMAU (CLINICAL DIRECTOR)
(480) 867-1722
Entity
Organization
Contact information
Practice address
2735 E MAIN ST STE 3, MESA, AZ 85213-9269
(480) 867-1722
(480) 867-1709
Mailing address
2735 E MAIN ST STE 2-3, MESA, AZ 85213-9269
(480) 867-1722
(480) 867-1709
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
347C00000X
Private Vehicle
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
364SF0001X
Family Health Clinical Nurse Specialist
—
—
Other
Enumeration date
10/02/2019
Last updated
08/06/2024
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