SHADETREE WELLNESS CENTER OF ARIZONA LLC (NPI# 1811504004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811504004 |
| Entity Type | Organization |
| Organization Name | SHADETREE WELLNESS CENTER OF ARIZONA LLC |
| Practice Address |
2737 W Baseline Rd Ste 21 Tempe AZ 85283-1051 |
| Mailing Address |
8768 W Gardenia Ave Glendale AZ 85305-6965 |
| Practice Telephone | 9093736305 |
| Mailing Telephone | 9093736305 |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2020-09-30 |
| Authorized Official Name | ARIANNA GRIFFITH (DIRECTOR OF OPREATIONS) |
| Authorized Official Telephone | 9093736305 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
2737 W BASELINE RD STE 21 |
| City | TEMPE |
| State | AZ |
| Zip Code | 85283-1051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093373284 | Odilette Trevizo | Registered Nurse | Beautiful You Med Spa, 123 E Baseline Rd Ste D208, Tempe, AZ 85283 | 2019-06-03 |
| 1538631981 | Baseline Dental Care Pllc | Dentist | 1980 E Baseline Road Suite 101, Tempe, AZ 85283 | 2018-12-26 |
| 1912409228 | Laura Lee Jones | Social Worker | 438 W. Seed Farm Road, Sacaton, AZ 85283 | 2018-03-02 |
| 1609226364 | Clean Colonic LLC | Public Health or Welfare | 7560 S. Willow Dr, Tempe, AZ 85283 | 2016-06-14 |
| 1235583212 | Seema Bacon | Counselor | 2111 E Baseline Rd Ste D2, Tempe, AZ 85283 | 2016-04-15 |
| 1326436908 | Dale E King | Social Worker | 1405 E. Guadalupe Road, Tempe, AZ 85283 | 2015-01-05 |
| 1194135871 | Greater Phoenix Psychiatric Associate Pllc | Psychiatry & Neurology | 6530 S Maple Ave, Tempe, AZ 85283 | 2014-05-02 |
| 1639468077 | Muna A Jama | Pharmacist | 6404 S Mcclintock Dr., Tempe, AZ 85283 | 2011-04-06 |
| 1649580945 | Nancy A Syms | Psychologist | 6350 South Maple Avenue, Tempe, AZ 85283 | 2010-10-20 |
| 1629208400 | Bonnie J Rouzaud | Nurse Practitioner | 1920 E Baseline Road, Tempe, AZ 85283 | 2009-07-15 |
| Find all providers in zip 85283 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467200 | Monique M Gomez | Counselor | 3923 S Willow Dr, Tempe, AZ 85282-5761 | 2020-11-08 |
| 1447867858 | Stacy Marie Bliss-lefebvre | Counselor | 2111 E Baseline Rd Ste B3, Tempe, AZ 85283-1517 | 2020-09-29 |
| 1407463078 | Aaron Bachler | Counselor | 2111 E Baseline Rd Ste C7, Tempe, AZ 85283-1521 | 2020-09-28 |
| 1538773635 | Audrey Stanley | Counselor | 13 E Carter Dr, Tempe, AZ 85282-6702 | 2020-09-04 |
| 1518571884 | Kristi Marie Plinski | Counselor | 2111 E Baseline Rd Ste B1, Tempe, AZ 85283-1517 | 2020-09-03 |
| 1730793282 | Tyler Michael Kees I | Counselor | 1730 E Mcnair Dr, Tempe, AZ 85283-5000 | 2020-09-02 |
| 1336750264 | Jaxinta Silvia Shaffer | Counselor | 104 E Garfield St, Tempe, AZ 85281-1011 | 2020-08-13 |
| 1376153056 | Amy Fleur Leiferman | Counselor | 8727 S Priest Dr Ste 101, Tempe, AZ 85284-1915 | 2020-08-06 |
| 1619500972 | Natasha De Soysa | Counselor | 401 W Baseline Rd Ste 210, Tempe, AZ 85283-5350 | 2020-02-14 |
| 1811553266 | Kandi Crandell | Counselor | 7705 S Heather Dr, Tempe, AZ 85284-1775 | 2019-05-10 |
| Find all providers in TEMPE | ||||
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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.