Phoenix Rebellion Therapy, Llc
LBN: Phoenix Rebellion Therapy, Llc
Phoenix Rebellion Therapy, Llc is an health care organization with primary practice located at 4516 S 700 E Ste 360 , Murray UT 84107-8317. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty.
Phoenix Rebellion Therapy, Llc can be contacted via phone (385) 231-8387, or through Waller, Rod via phone (385) 231-8387.
Contact Information
Primary practice address
4516 S 700 E Ste 360
Murray UT 84107-8317
Phone: (385) 231-8387
Fax: (385) 240-3843
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
NPI number | 1134759186 |
---|---|
LBN Legal business name | Phoenix Rebellion Therapy, Llc |
DBA Doing business as | |
Authorized official | Waller, Rod |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jan 17th, 2020 |
Last updated | Jan 18th, 2023 - about last year |
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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