PRO-HEALTHCARE LLC NPI 1588424311

NPI Information

  • NPI: 1588424311
  • Provider Name: PRO-HEALTHCARE LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 4121 E VALLEY AUTO DR STE 110
    MESA, AZ
    ZIP 85206
  • Phone: (602) 675-4692

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NPI Details

PRO-HEALTHCARE LLC is a mental health (including community mental health center) clinic center in Mesa, AZ. PRO-HEALTHCARE LLC NPI is 1588424311. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4121 E VALLEY AUTO DR STE 110
MESA, AZ
ZIP 85206-632
Phone: (602) 675-4692
Fax: (602) 207-8898

The provider's authorized official is Lucius King .
The authorized official title is Director and has the following contact phone number (602) 579-2227.

The enumeration date for this NPI number is 3/20/2024 and was last updated on 3/6/2025.

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
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes
4261QP2300XClinic/CenterPrimary CareNo

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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