Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Core Vine Family Srv LLC

Organization Community/Behavioral Health Agency · NPI 1043926835

Core Vine Family Srv LLC is a Community/Behavioral Health Agency in Avondale, Arizona. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

701 E Western Ave
Avondale, AZ 85323-2425
Phone: (602) 487-8331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1043926835
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lawanda Brooks — Owner · (314) 473-0148
NPI enumeratedJanuary 25, 2023
Last updated in NPPESJanuary 25, 2023
Certification dateJanuary 25, 2023
Mailing address701 E Western Ave, Avondale, AZ 85323-2425

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