LIVING HOPE CLINIC LLC NPI 1588426266

NPI Information

  • NPI: 1588426266
  • Provider Name: LIVING HOPE CLINIC LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • CLIA Number: 03D2323673
  • Address: 5251 W CAMPBELL AVE STE 208
    PHOENIX, AZ
    ZIP 85031
  • Phone: (207) 966-6134

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NPI Details

LIVING HOPE CLINIC LLC is a mental health (including community mental health center) clinic center in Phoenix, AZ. LIVING HOPE CLINIC LLC NPI is 1588426266. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5251 W CAMPBELL AVE STE 208
PHOENIX, AZ
ZIP 85031-719
Phone: (207) 966-6134

The provider's authorized official is Justin Nizeye Jenson .
The authorized official title is Ceo and has the following contact phone number (207) 699-6134.

The CLIA number assigned to this NPI record is 03D2323673 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/29/2024 and was last updated on 7/21/2025.

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
12084P0802XPsychiatry & NeurologyAddiction PsychiatryNo
2261Q00000XClinic/CenterNo
3261QM1300XClinic/CenterMulti-SpecialtyNo
4261QP2300XClinic/CenterPrimary CareNo
5261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
6207QA0401XFamily MedicineAddiction MedicineNo
7291U00000XClinical Medical LaboratoryNo
8261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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: 11/21/2025

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