Organization
COREBELLA HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAD SMITH (CEO)
(833) 510-4357
Entity
Organization
Contact information
Practice address
5700 W OLIVE AVE STE 106, GLENDALE, AZ 85302-3147
(480) 409-0322
(877) 559-2816
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600
(833) 510-4357
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
10/28/2022
Last updated
12/02/2024
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