Healthcare Provider Details
I. General information
NPI: 1316762826
Provider Name (Legal Business Name): N-EMOTION LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/19/2024
Last Update Date: 11/19/2024
Certification Date: 11/19/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
451 S HAWES RD UNIT 47
MESA AZ
85208-1544
US
IV. Provider business mailing address
451 S HAWES RD UNIT 47
MESA AZ
85208-1544
US
V. Phone/Fax
- Phone: 480-650-3948
- Fax:
- Phone: 480-650-3948
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QD1600X |
| Taxonomy | Developmental Disabilities Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QH0100X |
| Taxonomy | Health Service Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
ADIA
BREWINGTON
Title or Position: OWNER/OPERATOR
Credential: M.S. ED
Phone: 480-650-3948