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

MS. Virginia Ruth Archie

Individual provider Child Mental Illness Respite Care · NPI 1114045614

MS. Virginia Ruth Archie is a Child Mental Illness Respite Care in Phoenix, Arizona. Practices as a sole proprietor. Licensed in American Samoa and Arizona.

Licensed in
AS, AZ
In the registry since
2007
Specialties on file
2

Practice location Address checks out

1502 E Carson Rd
Phoenix, AZ 85042-5621
Phone: (602) 276-7690
Show map & directions

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

Specialties & licences

Foster Care Agency (primary) Taxonomy 253J00000X · Licence 1372 (AS)
Child Mental Illness Respite Care Taxonomy 385HR2055X · Licence 1372 (AZ)

Record details

NPI number1114045614
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 26, 2007
Last updated in NPPESMarch 13, 2020
Certification dateMarch 13, 2020

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