Fit4 An Empowered Life Llc
LBN: Fit4 An Empowered Life Llc
Fit4 An Empowered Life Llc is an health care organization with primary practice located at 4802 E Ray Rd Ste 23-266 , Phoenix AZ 85044-6405. The organization recently has 10 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Agencies / Case Management, Agencies / Day Training, Developmentally Disabled Services, Agencies / Home Health, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Corporate Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Transportation Services / Private Vehicle. Agencies / Community/Behavioral Health is the primary health care specialty.
Fit4 An Empowered Life Llc can be contacted via phone (313) 590-5253, or through Mitchell, Lajuana E via phone (313) 590-5253.
Contact Information
Primary practice address
4802 E Ray Rd Ste 23-266
Phoenix AZ 85044-6405
Phone: (313) 590-5253
Fax: (602) 491-2677
Website:
Authorized official contact:
Name: Mitchell, Lajuana E Licensed Professional Counselor (LPC)
Phone: (313) 590-5253
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Agencies / Case Management | 251B00000X | ||
| Agencies / Day Training, Developmentally Disabled Services | 251C00000X | ||
| Agencies / Home Health | 251E00000X | ||
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Ambulatory Health Care Facilities / Corporate Health | 261QC1800X | ||
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X | ||
| Ambulatory Health Care Facilities / Rehabilitation | 261QR0400X | ||
| Transportation Services / Private Vehicle | 347C00000X |
Profile Details
| NPI number | 1922624220 |
|---|---|
| LBN Legal business name | Fit4 An Empowered Life Llc |
| DBA Doing business as | |
| Authorized official | Mitchell, Lajuana E Licensed Professional Counselor (LPC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 23rd, 2020 |
| Last updated | Mar 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922624220 | NPPES |
| Arizona | MEDICAID | 277387 | |
| Arizona | Other | 23098837 |
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