Supreme Positive Innovation Services LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Mesa, AZ. Organization (NPI-2).
NPI number1003401902
StatusActive
Last updated in NPPESMar 3, 2021
Details
- NPI
- 1003401902
- Entity type
- Organization (NPI-2)
- Legal business name
- Supreme Positive Innovation Services LLC
- Organization subpart
- No
- Enumeration date
- Mar 3, 2021
- Certification date
- Mar 3, 2021
- Last updated
- Mar 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
1833 W Main St Ste 139-140Mesa, AZ 85201-6922
Phone 602-757-6786
Mailing address
1833 W Main St Ste 139-140Mesa, AZ 85201-6922
Authorized official
Katelyn Tamas
Owner
6027576786
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Mesa, AZ
- A New Leaf, INC.NPI 1922567817
- A Safe Haven Youth & Family Services, LLCNPI 1982304697
- A Willows GraceNPI 1366114852
- A&B Wellness INC.NPI 1194421859
- Agape Healing House, LLCNPI 1962165506
- Agricola Wellness Center LLCNPI 1447970066
- Arizona Holistic Healing Agency LLCNPI 1932858081
- Ascend Recovery Clinic, LLCNPI 1265376362
- Ascentia Behavioral CareNPI 1558230763
- Axios Wellness Center LLCNPI 1225707235
All 101 Mental Health Clinic/Center (Including Community Mental Health Center) providers in Mesa · All 13,507 providers in Mesa
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.