Empact Suicide Prevention Center Inc

LBN: Empact Suicide Prevention Center Inc
Empact Suicide Prevention Center Inc is an health care organization with primary practice located at 4425 W Olive Ave #194, Glendale AZ 85302-3843. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Empact Suicide Prevention Center Inc can be contacted via phone (480) 784-1514, or through Larson-Huffaker, Laura via phone (480) 784-1514.

Contact Information

Primary practice address
4425 W Olive Ave #194 Glendale AZ 85302-3843
Phone: (480) 784-1514
Fax: (480) 967-3528
Website:
Map and Directions
Authorized official contact:
Name: Larson-Huffaker, Laura Licensed Professional Counselor (LPC)
Phone: (480) 784-1514

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X BH-1958 Arizona

Profile Details

NPI number 1659414969
LBN Legal business name Empact Suicide Prevention Center Inc
DBA Doing business as
Authorized official Larson-Huffaker, Laura Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2007
Last updated Jul 28th, 2010 - about 16 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 1659414969 NPPES
Arizona MEDICAID 622987

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