NPI 1801764212
Nova Via Glendale LLC
Practice location
- Address
- 6830 N 55th Ave Suite 100, Glendale, AZ 85301
- Phone
- (480) 543-7432
Authorised official
- Name
- Stephanie Jolly
- Title
- Chief Compliance Officer
- Phone
- (480) 543-7432
Registered specialties (14)
Integrative Medicine Physician
Primary
Addiction (Substance Use Disorder) Counselor
Mental Health Counselor
Social Worker
Behavior Technician
Chiropractor
Nutritionist
Registered Nurse
Licensed Practical Nurse
Addiction Medicine (Family Medicine) Physician
Adult Medicine Physician
Physical Medicine & Rehabilitation Physician
Addiction Medicine (Preventive Medicine) Physician
Case Management Agency
Registry record
- NPI
- 1801764212
- Entity type
- Organization
- NPI issued
- 27 Oct 2025
- Record last updated
- 27 Oct 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.