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Contact Information

GO DEHP LLC
3800 N CENTRAL AVE FL 17
PHOENIX, AZ85012-1992
 Phone: 480-225-0555
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Integrative Medicine

202D00000X
 

Exercise & Sports

103TE1100X 62 Psychologist, Clinical
 

Health & Wellness Coach

171400000X
 

Sports

2251S0007X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for GO DEHP LLC

NPI # 1417738824
LBN Legal business name GO DEHP LLC
Authorized official JOSETTE SULLINS - (CEO/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/11/2023
Last updated 10/11/2023 - About 3 years ago
Identifiers n/a
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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