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

Innervision Az, Inc

Organization Community/Behavioral Health Agency · NPI 1922920107

Innervision Az, Inc is a Community/Behavioral Health Agency in Phoenix, Arizona. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2236 W Bethany Home Rd # 421
Phoenix, AZ 85015-1934
Phone: (336) 803-9598
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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
Clinic/Center Taxonomy 261Q00000X
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X
Substance Abuse Rehabilitation Facility Taxonomy 324500000X

Record details

NPI number1922920107
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ebony Wiggins — President · (336) 803-9598
NPI enumeratedJuly 28, 2026
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026
Mailing address2236 W Bethany Home Rd # 421, Phoenix, AZ 85015-1934

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