Growing Edges Llc - Medicare Mental Health Clinic in Glendale, AZ

Growing Edges Llc is a medicare enrolled mental health clinic (Psychologist - Clinical) in Glendale, Arizona. The current practice location for Growing Edges Llc is 18205 N 51st Ave Bldg 2, Suite 115, Glendale, Arizona. For appointments, you can reach them via phone at (602) 548-1444. The mailing address for Growing Edges Llc is 19580 W Indian School Rd Ste 105-134, Buckeye, Arizona and phone number is (602) 548-1444.

Growing Edges Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1073739660. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (602) 548-1444.

Contact Information

Growing Edges Llc
18205 N 51st Ave Bldg 2
Suite 115
Glendale
AZ 85308-1490
(602) 548-1444
(602) 548-1446

Mental Health Clinic Profile

Full NameGrowing Edges Llc
SpecialityPsychologist
Location18205 N 51st Ave Bldg 2, Glendale, Arizona
Authorized Official Name and PositionIlyssa Swartout (PRESIDENT)
Authorized Official Contact6025481444
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Growing Edges Llc
19580 W Indian School Rd Ste 105-134
Buckeye
AZ 85396-2081

Ph: (602) 548-1444
Growing Edges Llc
18205 N 51st Ave Bldg 2
Suite 115
Glendale
AZ 85308-1490

Ph: (602) 548-1444

NPI Details:

NPI Number1073739660
Provider Enumeration Date04/18/2007
Last Update Date09/21/2022
Certification Date09/21/2022

Medicare PECOS Information:

Medicare PECOS PAC ID6103818208
Medicare Enrollment IDO20040331000033

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Medical Identifiers

Medical identifiers for Growing Edges Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073739660NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Growing Edges Llc acts as a billing entity for following providers:
Provider NameIlyssa P Swartout
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1881630325
PECOS PAC ID: 5991797094
Enrollment ID: I20040414001195

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