AZ NEUROHOME LLC NPI 1114856077

NPI Information

  • NPI: 1114856077
  • Provider Name: AZ NEUROHOME, LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 2550 E ROSE GARDEN LN UNIT 71363
    PHOENIX, AZ
    ZIP 85050
  • Phone: (602) 510-0413

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NPI Details

AZ NEUROHOME, LLC is a mental health counselor in Phoenix, AZ. AZ NEUROHOME, LLC NPI is 1114856077. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2550 E ROSE GARDEN LN UNIT 71363
PHOENIX, AZ
ZIP 85050-715
Phone: (602) 510-0413

The provider's authorized official is Janel Randle .
The authorized official title is Clinical Director and has the following contact phone number (480) 250-4245.

The enumeration date for this NPI number is 5/18/2026 and was last updated on 5/18/2026.

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
1101YM0800XCounselorMental HealthYes

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: 11/21/2025

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