OTHER HEART LLC NPI 1528794203

NPI Information

NPI: 1528794203
Provider Name: OTHER HEART, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
3450 E SIERRA MADRE AVE
GILBERT, AZ
ZIP 85296
Phone: (480) 582-0344
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OTHER HEART, LLC is a mental health counselor in Gilbert, AZ. OTHER HEART, LLC NPI is 1528794203. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3450 E SIERRA MADRE AVE
GILBERT, AZ
ZIP 85296-970
Phone: (480) 582-0344

The provider's authorized official is Jamie Jeffery .
The authorized official title is Owner and has the following contact phone number (480) 228-2419.

The enumeration date for this NPI number is 7/26/2022 and was last updated on 7/26/2022.

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	License Number	License State	Primary
1	101YM0800X	Counselor	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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