Healthcare Provider Details
I. General information
NPI: 1346181393
Provider Name (Legal Business Name): AVA HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
67 S HIGLEY RD STE 103-463
GILBERT AZ
85296-1166
US
IV. Provider business mailing address
67 S HIGLEY RD STE 103-463
GILBERT AZ
85296-1166
US
V. Phone/Fax
- Phone: 623-308-2472
- Fax: 623-218-9061
- Phone: 623-308-2472
- Fax: 623-218-9061
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
STEPHEN
MECHAM
Title or Position: OWNER
Credential: DO
Phone: 623-308-2472