Immanuel Behavioral Health Counseling Clinic
Immanuel Behavioral Health Counseling Clinic is a Clinic/Center in Peoria, Arizona. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
11301 N 99th Ave Ste 5120Peoria, AZ 85345-5485
Phone: (623) 876-6379
Fax: (623) 876-6379
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|
Record details
| NPI number | 1104495084 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | 15856 |
| Authorized official | Brenda Pierce — Chief Operating Officer · (623) 738-8549 |
| NPI enumerated | June 23, 2021 |
| Last updated in NPPES | April 27, 2023 |
| Certification date | April 27, 2023 |
| Mailing address | 11301 N 99th Ave Ste 5120, Peoria, AZ 85345-5485 |
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