SUPREME POSITIVE INNOVATION SERVICES LLC (NPI# 1215544903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215544903 |
| Entity Type | Organization |
| Organization Name | SUPREME POSITIVE INNOVATION SERVICES LLC |
| Practice Address |
1833 W Main St Ste 139-140 Mesa AZ 85201-6922 |
| Practice Telephone | 6027576786 |
| Mailing Telephone | 6027576786 |
| Enumeration Date | 2020-09-26 |
| Last Update Date | 2020-09-28 |
| Authorized Official Name | KATELYN MARIE TAMAS (MANAGING PARTNER) |
| Authorized Official Telephone | 6027576786 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
1833 W MAIN ST STE 139-140 |
| City | MESA |
| State | AZ |
| Zip Code | 85201-6922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141980 | Arch Hospice, LLC. | Hospice Care, Community Based | 1209 N. Country Club Dr., Ste. 1, Mesa, AZ 85201 | 2020-07-08 |
| 1861025876 | Summit Bhc Mesa LLC | Clinic/Center | 846 North Center Street Suite 101, Mesa, AZ 85201 | 2020-02-18 |
| 1427600774 | Coleen Chatter | Counselor | 711 N. Evergreenrd. Apt#2088, Mesa, AZ 85201 | 2019-07-16 |
| 1013487800 | Akos Live | Family Medicine | 1902 W. Main Street, Mesa, AZ 85201 | 2018-12-05 |
| 1760990329 | Sage Counseling, Inc. | Community/Behavioral Health | 460 N. Mesa Drive, Suites 207 and 209, Mesa, AZ 85201 | 2018-01-17 |
| 1336590025 | Horizon Health and Wellness, Inc. | Assisted Living Facility | 453 West Sunset Circle, Mesa, AZ 85201 | 2016-06-24 |
| 1356711279 | Cheryl Agosto | Registered Nurse | 1025 N. Country Club Dr, Mesa, AZ 85201 | 2015-10-05 |
| 1861877961 | Richard Roble | Speech-Language Pathologist | 125 N. Country Club Dr., Mesa, AZ 85201 | 2015-07-30 |
| 1326440991 | Demetria Harris | Counselor | 455 N. Mesa Drive #11, Mesa, AZ 85201 | 2014-09-25 |
| 1588002489 | Zhen Liu | Acupuncturist | 210n. Center St, #102, Mesa, AZ 85201 | 2013-06-13 |
| Find all providers in zip 85201 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316554421 | Essential Wellness Solutions LLC | Clinic/Center | 345 N 79th Pl, Mesa, AZ 85207-7570 | 2020-09-23 |
| 1730798562 | Healthier Ever After LLC | Clinic/Center | 65 S Sycamore Ste 2, Mesa, AZ 85202-1143 | 2020-07-28 |
| 1205467974 | Betherapy Counseling, LLC | Clinic/Center | 1845 S Dobson Rd Ste 213, Mesa, AZ 85202-5663 | 2020-01-30 |
| 1235769282 | Az Life Options Child and Adult Services LLC | Clinic/Center | 6515 E Main St, Mesa, AZ 85205-9012 | 2020-01-17 |
| 1336785518 | Sun Valley Recovery | Clinic/Center | 2600 E Southern Ave Ste I-3, Mesa, AZ 85204-5413 | 2019-11-21 |
| 1194285643 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 1423 S Higley Rd Ste 103, Mesa, AZ 85206-3449 | 2019-03-21 |
| 1609334812 | Just 1 Life Services LLC | Clinic/Center | 1616 E Main St Ste 207a.1, Mesa, AZ 85203-9071 | 2019-03-06 |
| 1558682914 | Southwest Behavioral Health Services, Inc. | Clinic/Center | 653 W Guadalupe Rd Unit 1018, Mesa, AZ 85210-7772 | 2010-06-18 |
| 1154954113 | Babbitt Bowers Behavioral Health Services. LLC | Clinic/Center | 605 N Gilbert Rd, Mesa, AZ 85203-6629 | 2020-02-18 |
| 1720555030 | Terros Inc | Clinic/Center | 1111 S Stapley Dr, Mesa, AZ 85204-5059 | 2018-10-25 |
| Find all providers in MESA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.