| Polara Health | |
|
3347 N Windsong Dr Prescott Valley AZ 86314-2283 | |
| (928) 583-6411 | |
| (928) 775-9231 |
| Full Name | Polara Health |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3347 N Windsong Dr, Prescott Valley, Arizona |
| Authorized Official Name and Position | Tamara Player (CEO) |
| Authorized Official Contact | 9284455211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Polara Health 3343 N. Windsong Dr. Prescott Valley AZ 86314-2283 Ph: (928) 445-5211 | Polara Health 3347 N Windsong Dr Prescott Valley AZ 86314-2283 Ph: (928) 583-6411 |
| NPI Number | 1073762258 |
|---|---|
| Provider Enumeration Date | 09/12/2008 |
| Last Update Date | 06/14/2021 |
| Certification Date | 06/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073762258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | BHSH-3202 (Arizona) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | OTC6714 (Arizona) | Primary |
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