NPI Database
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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 Specialty Code Provider Type

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
 

Family

363LF0000X 50 Nurse Practitioner
 

Health Service

261QH0100X
 

Mental Health

101YM0800X
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

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

NPI # 1740931625
LBN Legal business name SPIRIT-MIND-BODY HEALTHCARE PLLC
Authorized official EZINNE IROKU - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 01/12/2022
Last updated 01/12/2023 - 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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