Provider Demographics
NPI:1750035705
Name:NUCREATIONS FAMILY SERVICES LLC
Entity Type:Organization
Organization Name:NUCREATIONS FAMILY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEFANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KADINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-718-4983
Mailing Address - Street 1:1930 S ALMA SCHOOL RD STE C202
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85210-3043
Mailing Address - Country:US
Mailing Address - Phone:602-718-4983
Mailing Address - Fax:602-888-8516
Practice Address - Street 1:1930 S ALMA SCHOOL RD STE C202
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85210-3043
Practice Address - Country:US
Practice Address - Phone:602-718-4983
Practice Address - Fax:602-888-8516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-08
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health