Foundation For Healing, Llc

LBN: Foundation For Healing, Llc
Foundation For Healing, Llc is an health care organization with primary practice located at 7148 N Sunrise Vis , Prescott Valley AZ 86315-3039. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Foundation For Healing, Llc can be contacted via phone (828) 333-3485, or through Johansen, Deborah M. via phone (828) 333-3485.

Contact Information

Primary practice address
7148 N Sunrise Vis Prescott Valley AZ 86315-3039
Phone: (828) 333-3485
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johansen, Deborah M. MS, LPC, NCC
Phone: (828) 333-3485

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X LPC-14026 Arizona
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1205325198
LBN Legal business name Foundation For Healing, Llc
DBA Doing business as
Authorized official Johansen, Deborah M. MS, LPC, NCC
Entity Organization
Organization subpart 1 No
Enumeration date May 7th, 2018
Last updated Jun 16th, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205325198 NPPES
Arizona MEDICAID 273868
Arizona Other 1417409483

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