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Immanuel Behavioral Health Counseling Clinic
Clinic/Center in Peoria, Arizona
NPI 1104495084

Immanuel Behavioral Health Counseling Clinic is a Clinic/Center based in Peoria, AZ. Immanuel Behavioral Health Counseling Clinic practices in Peoria, AZ. The NPI Number for Immanuel Behavioral Health Counseling Clinic is 1104495084 and holds a License No. (Arizona).

The current practice location address for Immanuel Behavioral Health Counseling Clinic is 11301 N 99Th Ave Ste 5120, Peoria, AZ and can be reached out via phone at 623-876-6379 and via fax at 623-876-6379.

Location: 11301 N 99Th Ave Ste 5120, Peoria, AZ, 85345-5485
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104495084
Provider Name
Immanuel Behavioral Health Counseling Clinic
Credential
Provider Entity Type
Organization
Address
11301 N 99Th Ave Ste 5120, Peoria, AZ, 85345-5485
Phone Number
623-876-6379
Fax Number
623-876-6379
Provider Enumeration Date
06/23/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
447591 05 AZ
institution
Provider Business Practice Location Address Details
Address
11301 N 99Th Ave Ste 5120
City
Peoria
State
Arizona
Zip
85345-5485
Phone Number
623-876-6379
Fax Number
623-876-6379
person
Provider Business Mailing Address Details
Address
11301 N 99Th Ave Ste 5120
City
Peoria
State
Arizona
Zip
85345-5485
Phone Number
623-876-6379
Fax Number
623-876-6379
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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