Id Substrate, Pllc

LBN: Id Substrate, Pllc
Id Substrate, Pllc is an health care organization with primary practice located at 4500 N 32Nd St Ste 100A , Phoenix AZ 85018-3360. The organization recently has 3 registered licenses in different health care specialties including 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 Craig, Dawn M via phone (602) 561-7806.

Contact Information

Primary practice address
4500 N 32Nd St Ste 100A Phoenix AZ 85018-3360
Phone: (602) 200-8690
Fax: (602) 264-8107
Website:
Map and Directions
Authorized official contact:
Name: Craig, Dawn M
Phone: (602) 561-7806

Health care specialties

SpecialtyCodeLicense #State
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 1043930662
LBN Legal business name Id Substrate, Pllc
DBA Doing business as
Authorized official Craig, Dawn M
Entity Organization
Organization subpart 1 No
Enumeration date Sep 1st, 2022
Last updated Sep 1st, 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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