Unleashed Phoenix

LBN: Unleashed Phoenix Corp
Unleashed Phoenix is an health care organization with primary practice located at 2538 E University Dr Ste 165 , Phoenix AZ 85034-6905. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Unleashed Phoenix Corp can be contacted via phone (232) 824-2546, or through Ellison, Edna via phone (623) 216-1237.

Contact Information

Primary practice address
2538 E University Dr Ste 165 Phoenix AZ 85034-6905
Phone: (232) 824-2546
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ellison, Edna
Phone: (623) 216-1237

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1780280354
LBN Legal business name Unleashed Phoenix Corp
DBA Doing business as Unleashed Phoenix
Authorized official Ellison, Edna
Entity Organization
Organization subpart 1 No
Enumeration date Dec 9th, 2020
Last updated Apr 12th, 2023 - about 2 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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