GOING THE EXTRA MILE LLC NPI 1538731500

NPI Information

NPI: 1538731500
Provider Name: GOING THE EXTRA MILE LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1102 W MCDOWELL RD
PHOENIX, AZ
ZIP 85007
Phone: (602) 612-2436
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GOING THE EXTRA MILE LLC is a mental health (including community mental health center) clinic center in Phoenix, AZ. GOING THE EXTRA MILE LLC NPI is 1538731500. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1102 W MCDOWELL RD
PHOENIX, AZ
ZIP 85007-700
Phone: (602) 612-2436

The provider's authorized official is Ralph Lopez .
The authorized official title is Bht/co-owner and has the following contact phone number (480) 799-6693.

The enumeration date for this NPI number is 7/11/2021 and was last updated on 7/19/2021.

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	251B00000X	Case Management		No
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes
4	106S00000X	Behavior Technician		No

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: 4/28/2024

NPI Synchronization or Removal

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