COREBELLA HEALTH AND WELLNESS LLC NPI 1730553108

NPI Information

NPI: 1730553108
Provider Name: COREBELLA HEALTH AND WELLNESS LLC
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

CLIA Number: 03D2143061

Address:
2600 E SOUTHERN AVE STE E1
TEMPE, AZ
ZIP 85282
Phone: (480) 542-4668
Get Directions

COREBELLA HEALTH AND WELLNESS LLC is an addiction (substance use disorder) counselor in Tempe, AZ. COREBELLA HEALTH AND WELLNESS LLC NPI is 1730553108. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2600 E SOUTHERN AVE STE E1
TEMPE, AZ
ZIP 85282-744
Phone: (480) 542-4668
Fax: (877) 559-2816

The provider's authorized official is Andrea Kovall .
The authorized official title is Vice President Of Managed Care and has the following contact phone number (833) 510-4357.

The CLIA number assigned to this NPI record is 03D2143061 - other - outpatient behavioral hea with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/21/2015 and was last updated on 12/29/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			No
2	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	4476	ARIZONA	No
3	207QA0401X	Family Medicine	Addiction Medicine	4476	ARIZONA	No
4	2084A0401X	Psychiatry & Neurology	Addiction Medicine			No
5	208VP0000X	Pain Medicine	Pain Medicine	4476	ARIZONA	No
6	261Q00000X	Clinic/Center				No
7	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No
8	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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