Provider Demographics
NPI:1922785146
Name:RED POPPY HEALING
Entity Type:Organization
Organization Name:RED POPPY HEALING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:POPPE
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:623-584-7940
Mailing Address - Street 1:16772 W BELL RD # 110-221
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-9702
Mailing Address - Country:US
Mailing Address - Phone:623-584-7940
Mailing Address - Fax:949-404-6488
Practice Address - Street 1:13830 W CAMINO DEL SOL STE 160
Practice Address - Street 2:
Practice Address - City:SUN CITY WEST
Practice Address - State:AZ
Practice Address - Zip Code:85375-4770
Practice Address - Country:US
Practice Address - Phone:623-584-7940
Practice Address - Fax:404-949-6488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-29
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty