HEART OF HARBOR INTEGRATED CARE INC. NPI 1750044988

NPI Information

NPI: 1750044988
Provider Name: HEART OF HARBOR INTEGRATED CARE INC.

Doing Business As: HEART OF CARE INTEGRATED HEALTH

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
3930 E RAY RD STE 120
PHOENIX, AZ
ZIP 85044
Phone: (602) 354-9252
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HEART OF HARBOR INTEGRATED CARE INC. is an adult mental health clinic center in Phoenix, 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. HEART OF HARBOR INTEGRATED CARE INC. NPI is 1750044988. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Heart Of Care Integrated Health.

The provider's business location address is:

3930 E RAY RD STE 120
PHOENIX, AZ
ZIP 85044-172
Phone: (602) 354-9252

The provider's authorized official is Wildine Burgess .
The authorized official title is Executive Admin and has the following contact phone number (240) 350-2863.

The enumeration date for this NPI number is 10/14/2021 and was last updated on 2/12/2024.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
2	101YM0800X	Counselor	Mental Health	No
3	171M00000X	Case Manager/Care Coordinator		No
4	2084A0401X	Psychiatry & Neurology	Addiction Medicine	No
5	261QD1600X	Clinic/Center	Developmental Disabilities	No
6	261QP2300X	Clinic/Center	Primary Care	No
7	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No
8	363LP2300X	Nurse Practitioner	Primary Care	No
9	261QM0850X	Clinic/Center	Adult Mental Health	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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