ID SUBSTRATE, PLLC is a mental health counselor in Phoenix, AZ. ID SUBSTRATE, PLLC NPI is 1043930662. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
4500 N 32ND ST STE 100A PHOENIX, AZ ZIP 85018-360 Phone: (602) 200-8690 Fax: (602) 264-8107
The provider's authorized official is Dawn M Craig . The authorized official title is Administrator and has the following contact phone number (602) 561-7806.
The enumeration date for this NPI number is 9/1/2022 and was last updated on 9/1/2022.
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:
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: 3/30/2025
NPI Synchronization or Removal
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