Providence Service, LLC
Providence Service, LLC is a Clinic/Center in Queen Creek, Arizona. Licensed in Tennessee. Registered with an NPI since 2012.
- Licensed in
- TN
- In the registry since
- 2012
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2530 W Allens Peak DrQueen Creek, AZ 85142-4642
Phone: (615) 668-4485
Fax: (480) 812-3131
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|---|
| Clinic/Center | Taxonomy 261Q00000X · Licence APN0000015886 (TN) |
Record details
| NPI number | 1245593268 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Olayinka Osinloye — Fnp/Pmhnp · (615) 668-4485 |
| Other names | Providence Service, Llc |
| NPI enumerated | June 25, 2012 |
| Last updated in NPPES | November 22, 2022 |
| Certification date | November 22, 2022 |
| Mailing address | 2530 W Allens Peak Dr, Queen Creek, AZ 85142-4642 |
Other providers in Queen Creek
-
Maximum Wellness Integrative Health Clinic
21455 S Ellsworth Rd Ste 36 Ste 36, Queen Creek, AZ 85142-9849 · (623) 850-4882
-
Women's Health Now PLLC
21321 E Ocotillo Road 127, Queen Creek, AZ 85242 · (480) 888-7271