Provider Demographics
NPI:1093524324
Name:PROSEV VENTURES INC
Entity type:Organization
Organization Name:PROSEV VENTURES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:PROSEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-390-4918
Mailing Address - Street 1:20427 W BRIARWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BUCKEYE
Mailing Address - State:AZ
Mailing Address - Zip Code:85396-1829
Mailing Address - Country:US
Mailing Address - Phone:480-390-4918
Mailing Address - Fax:
Practice Address - Street 1:20427 W BRIARWOOD DR
Practice Address - Street 2:
Practice Address - City:BUCKEYE
Practice Address - State:AZ
Practice Address - Zip Code:85396-1829
Practice Address - Country:US
Practice Address - Phone:480-390-4918
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty