TJ GARDNER CENTER LLC NPI 1285340547

NPI Information

NPI: 1285340547
Provider Name: TJ GARDNER CENTER LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
1722 N BANNING STE 101B
MESA, AZ
ZIP 85205
Phone: (480) 466-4837
Get Directions

TJ GARDNER CENTER LLC is an adult mental health clinic center in Mesa, 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. TJ GARDNER CENTER LLC NPI is 1285340547. The provider is registered as an organization entity type.

The provider's business location address is:

1722 N BANNING STE 101B
MESA, AZ
ZIP 85205-350
Phone: (480) 466-4837

The provider's authorized official is Hayden Won Min Phillip Duff .
The authorized official title is Owner and has the following contact phone number (480) 466-4837.

The enumeration date for this NPI number is 1/30/2023 and was last updated on 3/1/2024.

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	261Q00000X	Clinic/Center		No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
3	261QM1300X	Clinic/Center	Multi-Specialty	No
4	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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