HARBOR HEALTH INTEGRATED CARE CLINIC NPI 1043947948

NPI Information

NPI: 1043947948
Provider Name: HARBOR HEALTH INTEGRATED CARE CLINIC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
4805 W THOMAS RD
PHOENIX, AZ
ZIP 85031
Phone: (602) 825-1659
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HARBOR HEALTH INTEGRATED CARE CLINIC is an adult mental health clinic center in Phoenix, AZ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. HARBOR HEALTH INTEGRATED CARE CLINIC NPI is 1043947948. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4805 W THOMAS RD
PHOENIX, AZ
ZIP 85031-050
Phone: (602) 825-1659

The provider's authorized official is Wildine Burgess .
The authorized official title is Executive Admin and has the following contact phone number (240) 350-2863.

The enumeration date for this NPI number is 8/2/2022 and was last updated on 8/2/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	2084P0800X	Psychiatry & Neurology	Psychiatry	No
2	261QP2300X	Clinic/Center	Primary Care	No
3	363L00000X	Nurse Practitioner		No
4	363LP2300X	Nurse Practitioner	Primary Care	No
5	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
6	101YM0800X	Counselor	Mental Health	No
7	103TC0700X	Psychologist	Clinical	No
8	103TP2701X	Psychologist	Group Psychotherapy	No
9	2084A0401X	Psychiatry & Neurology	Addiction Medicine	No
10	261QM0850X	Clinic/Center	Adult Mental Health	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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