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Soul Surgery Llc
Adult Psychiatric/Mental Health Clinical Nurse Specialist in Scottsdale, Arizona
NPI 1871026674

Soul Surgery Llc is an Adult Psychiatric/Mental Health Clinical Nurse Specialist based in Scottsdale, AZ and is specialized in Psychiatric/Mental Health, Adult. Soul Surgery Llc practices in Scottsdale, AZ. The NPI Number for Soul Surgery Llc is 1871026674 and holds a License No. OTC7755 (Arizona).

The current practice location address for Soul Surgery Llc is 14362 N. Frank Lloyd Wright, Scottsdale, AZ and can be reached out via phone at 480-912-3105 and via fax at 480-912-3106.

Location: 14362 N. Frank Lloyd Wright, Scottsdale, AZ, 85260
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871026674
Provider Name
Soul Surgery Llc
Credential
Provider Entity Type
Organization
Address
14362 N. Frank Lloyd Wright, Scottsdale, AZ, 85260
Phone Number
480-912-3105
Fax Number
480-912-3106
Provider Enumeration Date
04/07/2017
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
14362 N. Frank Lloyd Wright
City
Scottsdale
State
Arizona
Zip
85260
Phone Number
480-912-3105
Fax Number
480-912-3106
person
Provider Business Mailing Address Details
Address
14362 N. Frank Lloyd Wright
City
Scottsdale
State
Arizona
Zip
85260
Phone Number
480-912-3105
Fax Number
480-912-3106
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
OTC8541 (Arizona)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Psychiatric/Mental Health, Adult
Taxonomy
364SP0809X
License No.
OTC7755 (Arizona)
Definition
Definition to come...
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