ST. SOPHIE'S LLC NPI 1336415942

NPI Information

NPI: 1336415942
Provider Name: ST. SOPHIE'S, LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
5045 E COTTONTAIL RUN RD
PARADISE VALLEY, AZ
ZIP 85253
Phone: (701) 365-4488
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ST. SOPHIE'S, LLC is an adult mental health clinic center in Paradise Valley, 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. ST. SOPHIE'S, LLC NPI is 1336415942. The provider is registered as an organization entity type.

The provider's business location address is:

5045 E COTTONTAIL RUN RD
PARADISE VALLEY, AZ
ZIP 85253-316
Phone: (701) 365-4488
Fax: (701) 365-4127

The provider's authorized official is Emmet Michael Kenney .
The authorized official title is President/ceo and has the following contact phone number (701) 365-4488.

The enumeration date for this NPI number is 3/28/2012 and was last updated on 3/28/2012.

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	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	7174	NORTH DAKOTA	No
2	261QM0850X	Clinic/Center	Adult Mental Health	7174	NORTH DAKOTA	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: 11/14/2023

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