Provider Demographics
NPI:1235280843
Name:HEALTHY FUTURES MSE LLC
Entity Type:Organization
Organization Name:HEALTHY FUTURES MSE LLC
Other - Org Name:HEALTHY FUTURES
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MIA
Authorized Official - Middle Name:SUZANNE
Authorized Official - Last Name:ELWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:480-451-8500
Mailing Address - Street 1:8065 N 85TH WAY
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4359
Mailing Address - Country:US
Mailing Address - Phone:480-451-8500
Mailing Address - Fax:480-451-8510
Practice Address - Street 1:8065 N 85TH WAY
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4359
Practice Address - Country:US
Practice Address - Phone:480-451-8500
Practice Address - Fax:480-451-8510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2013-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health