Id Substrate, Pllc

LBN: Id Substrate, Pllc
Id Substrate, Pllc is an health care organization with primary practice located at 4500 N. 32Nd Street 100-A, Phoenix AZ 85018-3033. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Id Substrate, Pllc can be contacted via phone (602) 200-8690, or through Hayes, Flyn via phone (602) 405-4622.

Contact Information

Primary practice address
4500 N. 32Nd Street 100-A Phoenix AZ 85018-3033
Phone: (602) 200-8690
Fax: (602) 264-8107
Website:
Map and Directions
Authorized official contact:
Name: Hayes, Flyn MS FOR PSY LISAC
Phone: (602) 405-4622

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Forensic 103TF0200X
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X

Profile Details

NPI number 1588387005
LBN Legal business name Id Substrate, Pllc
DBA Doing business as
Authorized official Hayes, Flyn MS FOR PSY LISAC
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2022
Last updated Sep 20th, 2022 - 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.

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