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Contact Information

PHOENIX HOLISTIC PSYCHIATRY LLC
1425 S HIGLEY RD STE 104
GILBERT, AZ85296-4798
 Phone: 480-470-0069
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for PHOENIX HOLISTIC PSYCHIATRY LLC

NPI # 1174292221
LBN Legal business name PHOENIX HOLISTIC PSYCHIATRY LLC
Authorized official PANCHAJANYA PAUL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/11/2021
Last updated 10/05/2023 - 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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