National Provider Identifier Database

SPIRIT MIND BODY HEALTHCARE PLLC
Mental Health (Including Community Mental Health Center)


Contact Information

SPIRIT-MIND-BODY HEALTHCARE PLLC
9950 W VAN BUREN ST STE 115
AVONDALE, AZ85323-5318
Phone: 623-218-6691
Fax:
Website:
Specialty Taxonomy Code
* Mental Health (Including Community Mental Health Center) 261QM0801X
Family 363LF0000X
Health Service 261QH0100X
Mental Health 101YM0800X
Psychiatric/Mental Health 363LP0808X

* Indicates primary specialty

NPI Profile & details for SPIRIT-MIND-BODY HEALTHCARE PLLC

NPI Number 1740931625
Legal business name
LBN
SPIRIT-MIND-BODY HEALTHCARE PLLC
Authorized official EZINNE IROKU - (CEO)
Entity Organization
Organization subpart No
Enumeration date 01/12/2022
Last updated 01/12/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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