HEALED PHOENIX COUNSELING AND WELLNESS CENTER LLC NPI 1053180521

NPI Information

NPI: 1053180521
Provider Name: HEALED PHOENIX COUNSELING AND WELLNESS CENTER LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
4225 W GLENDALE AVE STE A201
PHOENIX, AZ
ZIP 85051
Phone: (623) 258-1904
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HEALED PHOENIX COUNSELING AND WELLNESS CENTER LLC is a multi-specialty clinic center in Phoenix, AZ. HEALED PHOENIX COUNSELING AND WELLNESS CENTER LLC NPI is 1053180521. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4225 W GLENDALE AVE STE A201
PHOENIX, AZ
ZIP 85051-194
Phone: (623) 258-1904

The provider's authorized official is Tiffany Bryant .
The authorized official title is Provider/owner and has the following contact phone number (513) 252-6939.

The enumeration date for this NPI number is 12/26/2023 and was last updated on 12/26/2023.

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	101YM0800X	Counselor	Mental Health	No
2	251S00000X	Community/Behavioral Health		No
3	261QM1300X	Clinic/Center	Multi-Specialty	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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