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

Harbor Health Integrated Care Clinic

Organization Addiction (Substance Use Disorder) Counselor · NPI 1043947948

Harbor Health Integrated Care Clinic is an Addiction (Substance Use Disorder) Counselor in Phoenix, Arizona. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
10

Practice location Address checks out

4805 W Thomas Rd
Phoenix, AZ 85031-4050
Phone: (602) 825-1659
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Mental Health Clinic/Center (primary) Taxonomy 261QM0850X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X
Clinical Psychologist Taxonomy 103TC0700X
Group Psychotherapy Psychologist Taxonomy 103TP2701X
Addiction Medicine (Psychiatry & Neurology) Physician Taxonomy 2084A0401X
Psychiatry Physician Taxonomy 2084P0800X
Primary Care Clinic/Center Taxonomy 261QP2300X
Nurse Practitioner Taxonomy 363L00000X
Primary Care Nurse Practitioner Taxonomy 363LP2300X

Record details

NPI number1043947948
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationHeart of Harbor Integrated Care Inc
Authorized official Wildine Burgess — Executive Admin · (240) 350-2863
NPI enumeratedAugust 2, 2022
Last updated in NPPESAugust 2, 2022
Certification dateJuly 23, 2022
Mailing address4805 W Thomas Rd, Phoenix, AZ 85031-4050

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