Supreme Positive Innovation Services Llc - Mental Health Clinic in Mesa, AZ

Supreme Positive Innovation Services Llc is a mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Mesa, Arizona. The current practice location for Supreme Positive Innovation Services Llc is 1833 W Main St Ste 139-140, Mesa, Arizona. For appointments, you can reach them via phone at (602) 757-6786. The mailing address for Supreme Positive Innovation Services Llc is 1833 W Main St Ste 139-140, Mesa, Arizona and phone number is () -.

Supreme Positive Innovation Services Llc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1003401902. 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 (602) 757-6786.

Contact Information

Supreme Positive Innovation Services Llc
1833 W Main St Ste 139-140
Mesa
AZ 85201-6922
(602) 757-6786
Not Available

Mental Health Clinic Profile

Full NameSupreme Positive Innovation Services Llc
SpecialityClinic/center - Mental Health (including Community Mental Health Center)
Location1833 W Main St Ste 139-140, Mesa, Arizona
Authorized Official Name and PositionKatelyn Tamas (OWNER)
Authorized Official Contact6027576786
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Supreme Positive Innovation Services Llc
1833 W Main St Ste 139-140
Mesa
AZ 85201-6922

Ph: () -
Supreme Positive Innovation Services Llc
1833 W Main St Ste 139-140
Mesa
AZ 85201-6922

Ph: (602) 757-6786

NPI Details:

NPI Number1003401902
Provider Enumeration Date03/03/2021
Last Update Date03/03/2021
Certification Date03/03/2021

Medical Identifiers

Medical identifiers for Supreme Positive Innovation Services Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003401902NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Primary

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› Verified 6 days ago

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