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

Jeremiah 29:11 Counseling Services LLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1366210205

Jeremiah 29:11 Counseling Services LLC is an Addiction (Substance Use Disorder) Counselor in Mesa, 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

1 N Macdonald Ste B19
Mesa, AZ 85201-7339
Phone: (206) 291-5998
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1366210205
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Grady Smith — Np/Owner · (206) 291-5998
Other names Jeremiah 2911 Counseling Services Llc
NPI enumeratedDecember 19, 2023
Last updated in NPPESDecember 19, 2023
Certification dateDecember 19, 2023
Mailing address1 N Macdonald Ste B19, Mesa, AZ 85201-7339

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