Spirit-Mind-Body Outpatient Treatment Center

LBN: Spirit-Mind-Body Healthcare Pllc
Spirit-Mind-Body Outpatient Treatment Center is an health care organization with primary practice located at 9950 W Van Buren St Ste 115 , Avondale AZ 85323-5318. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Spirit-Mind-Body Healthcare Pllc can be contacted via phone (623) 218-6691, or through Iroku, Ezinne via phone (623) 218-6691.

Contact Information

Primary practice address
9950 W Van Buren St Ste 115 Avondale AZ 85323-5318
Phone: (623) 218-6691
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Iroku, Ezinne Nurse Practitioner (NP)
Phone: (623) 218-6691

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Ambulatory Health Care Facilities / Health Service 261QH0100X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1740931625
LBN Legal business name Spirit-Mind-Body Healthcare Pllc
DBA Doing business as Spirit-Mind-Body Outpatient Treatment Center
Authorized official Iroku, Ezinne Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2022
Last updated Jan 12th, 2023 - 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.

Request for update

Popular Providers