Made Whole Medical Center Llc - Mental Health Clinic in Avondale, AZ

Made Whole Medical Center Llc is a mental health clinic (Clinic/center) in Avondale, Arizona. The current practice location for Made Whole Medical Center Llc is 13048 W Rancho Santa Fe Blvd, Avondale, Arizona. For appointments, you can reach them via phone at (623) 300-6457. The mailing address for Made Whole Medical Center Llc is 13048 W Rancho Santa Fe Blvd, Avondale, Arizona and phone number is (623) 300-6457.

Made Whole Medical Center Llc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1245011006. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (623) 300-6457.

Contact Information

Made Whole Medical Center Llc
13048 W Rancho Santa Fe Blvd
Avondale
AZ 85392-1705
(623) 300-6457
(855) 300-5330

Mental Health Clinic Profile

Full NameMade Whole Medical Center Llc
SpecialityClinic/center
Location13048 W Rancho Santa Fe Blvd, Avondale, Arizona
Authorized Official Name and PositionCaremla J Banks (OWNER)
Authorized Official Contact6233006457
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Made Whole Medical Center Llc
13048 W Rancho Santa Fe Blvd
Avondale
AZ 85392-1705

Ph: (623) 300-6457
Made Whole Medical Center Llc
13048 W Rancho Santa Fe Blvd
Avondale
AZ 85392-1705

Ph: (623) 300-6457

NPI Details:

NPI Number1245011006
Provider Enumeration Date10/09/2023
Last Update Date10/21/2023
Certification Date10/21/2023

Medical Identifiers

Medical identifiers for Made Whole Medical Center Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245011006NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP1600XCounselor - Pastoral (* (Not Available))Secondary
251B00000XCase Management (* (Not Available))Secondary
261Q00000XClinic/center (* (Not Available))Primary
261QF0050XClinic/center - Family Planning, Non-surgical (* (Not Available))Secondary
261QH0100XClinic/center - Health Service (* (Not Available))Secondary
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Secondary
261QM1300XClinic/center - Multi-specialty (* (Not Available))Secondary
261QP2400XClinic/center - Prison Health (* (Not Available))Secondary
261QV0200XClinic/center - Va (* (Not Available))Secondary

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› Verified 8 days ago

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