Organization · NPI-2

Nova Care Multiclinic LLC

Clinic/Center, Urgent Care · Phoenix, AZ

NPI number1174211007

StatusActive

Last updated in NPPESApr 27, 2023

Details

NPI: 1174211007
Entity type: Organization (NPI-2)
Legal business name: Nova Care Multiclinic LLC
Organization subpart: No
Enumeration date: Apr 27, 2023
Certification date: Apr 27, 2023
Last updated: Apr 27, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QU0200X	Clinic/Center, Urgent Care	–	–	Yes
101Y00000X	Counselor	–	–
101YA0400X	Counselor, Addiction (Substance Use Disorder)	–	–
101YM0800X	Counselor, Mental Health	–	–
106S00000X	Behavior Technician	–	–
171M00000X	Case Manager/Care Coordinator	–	–
174400000X	Specialist	–	–
207R00000X	Internal Medicine	–	–
208D00000X	General Practice	–	–
405300000X	Prevention Professional	–	–
202D00000X	Integrative Medicine	–	–
207Q00000X	Family Medicine	–	–
207QA0000X	Family Medicine, Adolescent Medicine	–	–
207QA0401X	Family Medicine, Addiction Medicine	–	–
207QA0505X	Family Medicine, Adult Medicine	–	–

Practice location

1717 W Northern Ave Ste 200
Phoenix, AZ 85021-5478

Phone 623-703-9840

Mailing address

1717 W Northern Ave Ste 204d
Phoenix, AZ 85021-5471

Phone 623-703-9840

Authorized official

Viashen Moodley
Administrator
6237039840

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