SPIRIT-MIND-BODY HEALTHCARE PLLC NPI 1740931625

NPI Information

NPI: 1740931625
Provider Name: SPIRIT-MIND-BODY HEALTHCARE PLLC

Other Name: SPIRIT-MIND-BODY OUTPATIENT TREATMENT CENTER

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
9950 W VAN BUREN ST STE 115
AVONDALE, AZ
ZIP 85323
Phone: (623) 218-6691
Get Directions

SPIRIT-MIND-BODY HEALTHCARE PLLC is a mental health (including community mental health center) clinic center in Avondale, AZ. SPIRIT-MIND-BODY HEALTHCARE PLLC NPI is 1740931625. The provider is registered as an organization entity type.
The provider Other Name Is Spirit-mind-body Outpatient Treatment Center.

The provider's business location address is:

9950 W VAN BUREN ST STE 115
AVONDALE, AZ
ZIP 85323-318
Phone: (623) 218-6691

The provider's authorized official is Ezinne Iroku .
The authorized official title is Ceo and has the following contact phone number (623) 218-6691.

The CLIA number assigned to this NPI record is 03D2273742 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/12/2022 and was last updated on 1/12/2023.

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	261QH0100X	Clinic/Center	Health Service	No
2	363LF0000X	Nurse Practitioner	Family	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No
4	101YM0800X	Counselor	Mental Health	No
5	261QM0801X	Clinic/Center	Mental 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: 4/28/2024

NPI Synchronization or Removal

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