Healthcare Provider Details

I. General information

NPI: 1144910761
Provider Name (Legal Business Name): PERCEPTIVE CONSULTANTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2023
Last Update Date: 05/08/2023
Certification Date: 05/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24138 W WHYMAN AVE
BUCKEYE AZ
85326-5380
US

IV. Provider business mailing address

24138 W WHYMAN AVE
BUCKEYE AZ
85326-5380
US

V. Phone/Fax

Practice location:
  • Phone: 623-385-2288
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: ANTOINETTE BOYD
Title or Position: OWNER
Credential:
Phone: 623-385-2288