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COREBELLA HEALTH AND WELLNESS LLC NPI 1831806744


NPI Information

NPI: 1831806744
Provider Name: COREBELLA HEALTH AND WELLNESS LLC
Classification: Internal Medicine - 207RA0401X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 03D2284798

Address:
6565 E GREENWAY PKWY STE 102
SCOTTSDALE, AZ
ZIP 85254
Phone: (602) 649-0677
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COREBELLA HEALTH AND WELLNESS LLC is an addiction medicine internal medicine in Scottsdale, AZ. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. COREBELLA HEALTH AND WELLNESS LLC NPI is 1831806744. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6565 E GREENWAY PKWY STE 102
SCOTTSDALE, AZ
ZIP 85254-056
Phone: (602) 649-0677
Fax: (877) 559-2816

The provider's authorized official is Earnestine Burke .
The authorized official title is Managed Care Sopecialist and has the following contact phone number (833) 510-4357.

The CLIA number assigned to this NPI record is 03D2284798 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/31/2022 and was last updated on 1/26/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2103TA0400XPsychologistAddiction (Substance Use Disorder)No
3207QA0401XFamily MedicineAddiction MedicineNo
4207RA0401XInternal MedicineAddiction MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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