MEDICARE: GWEE'S INTEGRATED HEALTH SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	2084A0401X	Addiction Medicine (Psychiatry & Neurology) Physician
2	208VP0000X	Pain Medicine Physician
3	261Q00000X	Clinic/Center
4	364SH1100X	Holistic Clinical Nurse Specialist
5	103T00000X	Psychologist
6	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1336887892
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GWEE'S INTEGRATED HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	3135 W HAYWARD AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85051-6544
Country	:	US
Telephone Number	:	508-271-5150
Fax Number	:

Provider Business Practice Location Address
First Line	:	9005 N 29TH AVE STE 1AND2
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85051-3465
Country	:	US
Telephone Number	:	508-271-5150
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SARAH GWEE
Credential	:
Telephone Number	:	508-271-5150

Provider Enumeration Date	:	05/24/2022
Last Update Date	:	08/07/2024

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