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Contact Information

MENDING HEARTS FAMILY SERVICES, INC.
17431 N. 71ST DR.
SUITE 103
GLENDALE, AZ85308
 Phone: 602-633-2246
 Fax: 602-687-7069
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for MENDING HEARTS FAMILY SERVICES, INC.

NPI # 1124342993
LBN Legal business name MENDING HEARTS FAMILY SERVICES, INC.
Authorized official SHARON CARL - (PRESIDENT/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/23/2010
Last updated 05/21/2020 - About 6 years ago
Identifiers
AZ License # LPC - 1003
Other S1642 REGISTERED PLAY THERAPY SUPERVISOR
AZ Other 649014 AHCCCS
AZ Other LPC-1003 LICENSED PROFESSIONAL COUNSELOR
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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