Home » Arizona » 86315 » Foundation For Healing, Llc

Foundation For Healing, Llc

Foundation For Healing, Llc is a health care provider in Prescott Valley, AZ. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 7148 N Sunrise Vis, Prescott Valley, AZ 86315-3039, US
Practice Location Phone828-333-3485
Practice Location Fax
Legal Business NameFOUNDATION FOR HEALING, LLC
NPI ?1205325198
Entity TypeOrganization
Enumeration Date ? May 7, 2018
Last Update Date ? Jun 16, 2018
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Foundation For Healing, Llc

SpecialtySpecializationLicenseLicense State
Clinic/CenterMental Health (Including Community Mental Health Center) LPC-14026Arizona
Clinic/CenterMulti-Specialty

legacy-id-icon Legacy Provider IDs of Foundation For Healing, Llc

Provider IdIssuer StateIssuer TypeIssuer
1417409483ArizonaOtherNPI
273868ArizonaMedicaid

official-icon Authorized Official of Foundation For Healing, Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Foundation For Healing, Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Deborah M. Johansen (MS, LPC, NCC)
Authorized Official Title/PositionCLINICAL DIRECTOR
Authorized Official Phone Number828-333-3485