Provider Demographics
NPI:1598639817
Name:PALM VIEW HEALTH AND WELLNESS LLC
Entity type:Organization
Organization Name:PALM VIEW HEALTH AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:HULLIHEN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:928-583-4878
Mailing Address - Street 1:15267 W ELM ST
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85395-7727
Mailing Address - Country:US
Mailing Address - Phone:928-583-4878
Mailing Address - Fax:480-522-3665
Practice Address - Street 1:15267 W ELM ST
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85395-7727
Practice Address - Country:US
Practice Address - Phone:928-583-4878
Practice Address - Fax:480-522-3665
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PALM VIEW HEALTH AND WELLNESS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-30
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness