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NPI Code Detail

MEDICARE: INNERVISIONS HEALTH LLC

MEDICARE: INNERVISIONS HEALTH LLC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2251B00000XCase Management Agency
3251C00000XDevelopmentally Disabled Services Day Training Agency
4251S00000XCommunity/Behavioral Health Agency
5252Y00000XEarly Intervention Provider Agency
6261QD1600XDevelopmental Disabilities Clinic/Center
7261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
8261QM0850XAdult Mental Health Clinic/Center
9261QM0855XAdolescent and Children Mental Health Clinic/Center
10261QR0401XComprehensive Outpatient Rehabilitation Facility (CORF)
11320800000XMental Illness Community Based Residential Treatment Facility
12323P00000XPsychiatric Residential Treatment Facility
13320600000XIntellectual and/or Developmental Disabilities Residential Treatment Facility

General Provider Information

NPI Number : 1558934265
Entity Type Code : Organization
Provider Name (Legal Business Name) : INNERVISIONS HEALTH LLC
Provider Business Mailing Address
First Line : 4848 E CACTUS RD STE 505
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85254-4182
Country : US
Telephone Number : 520-223-9001
Fax Number :
Provider Business Practice Location Address
First Line : 177 N CHURCH AVE STE 708
Second Line :
City : TUCSON
State : AZ
Zip : 85701-1119
Country : US
Telephone Number : 520-223-9001
Fax Number :
Authorized Official
Title or Position : CEO
Name : MARTIN HILL
Credential :
Telephone Number : 520-223-9001
Provider Enumeration Date : 07/20/2021
Last Update Date : 08/26/2021

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