Provider Demographics
NPI:1346089778
Name:NEEMA MENTAL HEALTH GROUP
Entity type:Organization
Organization Name:NEEMA MENTAL HEALTH GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOLLY
Authorized Official - Middle Name:M
Authorized Official - Last Name:MWORIA
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:714-599-6201
Mailing Address - Street 1:2436 E FLINTLOCK DR
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85298-0157
Mailing Address - Country:US
Mailing Address - Phone:714-599-6201
Mailing Address - Fax:
Practice Address - Street 1:2436 E FLINTLOCK DR
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85298-0157
Practice Address - Country:US
Practice Address - Phone:714-599-6201
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-24
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)