Desert Sage Healing, Llc

LBN: Desert Sage Healing, Llc
Desert Sage Healing, Llc is an health care organization with primary practice located at 18256 E Williams Field Rd Ste 6 , Gilbert AZ 85295-6808. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Pastoral, Other Service Providers / Meals, Agencies / Case Management, Agencies / Community/Behavioral Health, Agencies / Early Intervention Provider Agency, Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty. Desert Sage Healing, Llc can be contacted via phone (480) 356-4370, or through Hold, Lisa A via phone (480) 356-4370.

Contact Information

Primary practice address
18256 E Williams Field Rd Ste 6 Gilbert AZ 85295-6808
Phone: (480) 356-4370
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hold, Lisa A
Phone: (480) 356-4370

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X
Other Service Providers / Meals 174200000X
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X
Agencies / Early Intervention Provider Agency 252Y00000X
Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1699379990
LBN Legal business name Desert Sage Healing, Llc
DBA Doing business as
Authorized official Hold, Lisa A
Entity Organization
Organization subpart 1 No
Enumeration date Nov 26th, 2020
Last updated May 3rd, 2021 - about 4 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 1699379990 NPPES
Arizona MEDICAID 091693

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