NPI: 1326643032
Provider Name: TELEHEALTH ON THE GO
Former Legal Business Name: TELEHEALTH ON THE GO, PLLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization
Specialization: Adult Mental Health
CLIA Number: 03D2205748
Address:
3104 E CAMELBACK RD
PHOENIX, AZ
ZIP 85016
Phone: (602) 699-5753
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TELEHEALTH ON THE GO is an adult mental health clinic center in Phoenix, AZ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. TELEHEALTH ON THE GO NPI is 1326643032. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Telehealth On The Go, Pllc.
The provider's business location address is:
3104 E CAMELBACK RD
PHOENIX, AZ
ZIP 85016-502
Phone: (602) 699-5753
The provider's authorized official is Brianne Terrell .
The authorized official title is Psychiatric Nurse Practitioner and has the following contact phone number (602) 699-5753.
The CLIA number assigned to this NPI record is 03D2205748 - mobile laboratory with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/1/2020 and was last updated on 1/26/2021.