Provider Demographics
NPI:1346742541
Name:SARVA CENTER FOR WELL-BEING
Entity Type:Organization
Organization Name:SARVA CENTER FOR WELL-BEING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEWBRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-505-3838
Mailing Address - Street 1:2730 S VAL VISTA DR STE 137
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85295-1681
Mailing Address - Country:US
Mailing Address - Phone:480-505-3838
Mailing Address - Fax:
Practice Address - Street 1:2730 S VAL VISTA DR STE 137
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85295-1681
Practice Address - Country:US
Practice Address - Phone:480-505-3838
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-02
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4574103T00000X
AZLMSW-13947104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty