THE LICENSED CONNECTIONS LLC NPI 1912784711

NPI Information

  • NPI: 1912784711
  • Provider Name: THE LICENSED CONNECTIONS, LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 2341 N 83RD DR
    PHOENIX, AZ
    ZIP 85037
  • Phone: (480) 447-9935

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NPI Details

THE LICENSED CONNECTIONS, LLC is a mental health counselor in Phoenix, AZ. THE LICENSED CONNECTIONS, LLC NPI is 1912784711. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2341 N 83RD DR
PHOENIX, AZ
ZIP 85037-742
Phone: (480) 447-9935

The provider's authorized official is Suma Hodge .
The authorized official title is Administrator and has the following contact phone number (480) 447-9935.

The enumeration date for this NPI number is 9/13/2023 and was last updated on 9/29/2023.

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 License Number License State Primary
1101YM0800XCounselorMental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1080578MEDICAIDARIZONA

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: 3/30/2025

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