| Eaton Center For Joyful Health | |
|
8128 E State Route 69 Ste 201 Prescott Valley AZ 86314-9459 | |
| (928) 442-9205 | |
| (602) 535-3230 |
| Full Name | Eaton Center For Joyful Health |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 8128 E State Route 69 Ste 201, Prescott Valley, Arizona |
| Authorized Official Name and Position | Greg Billi (CEO) |
| Authorized Official Contact | 9284429205 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eaton Center For Joyful Health 599 White Spar Rd Prescott AZ 86303-4627 Ph: (928) 442-9205 | Eaton Center For Joyful Health 8128 E State Route 69 Ste 201 Prescott Valley AZ 86314-9459 Ph: (928) 442-9205 |
| NPI Number | 1528415650 |
|---|---|
| Provider Enumeration Date | 05/18/2016 |
| Last Update Date | 07/01/2021 |
| Certification Date | 07/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528415650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | CSLG7699 (Arizona) | Primary |
| 302F00000X | Exclusive Provider Organization | CSA 14ADHS014813 (Arizona) | Secondary |
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