Directly Affected

LBN: Directly Affected
Directly Affected is an health care organization with primary practice located at 2522 S Terripin , Mesa AZ 85209-4959. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Agencies / Case Management, Agencies / Community/Behavioral Health, Agencies / Foster Care Agency, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty. Directly Affected can be contacted via phone (614) 980-2116, or through Myrick, Dominique via phone (614) 980-2116.

Contact Information

Primary practice address
2522 S Terripin Mesa AZ 85209-4959
Phone: (614) 980-2116
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Myrick, Dominique
Phone: (614) 980-2116

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X
Agencies / Foster Care Agency 253J00000X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1124603394
LBN Legal business name Directly Affected
DBA Doing business as
Authorized official Myrick, Dominique
Entity Organization
Organization subpart 1 No
Enumeration date Mar 10th, 2021
Last updated Mar 10th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers