Organization · Type 2 NPI
Vivify Wellness LLC
Addiction (Substance Use Disorder) Counselor · Mesa, AZ
NPI number
1366807596
Active
Practice location
2345 S Alma School Rd, Suite 105
Mesa, AZ 85210-4012
Mailing address
18445 E Pine Valley Dr
Queen Creek, AZ 85142-3622
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 10622 (AZ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
4 other providers at this address
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About NPI 1366807596
Vivify Wellness LLC's National Provider Identifier is 1366807596, issued on Dec 14, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mesa, AZ. The record was last updated on Dec 14, 2015.