Abra Health LLC
Clinic/Center, Community Health in Phoenix, Arizona
1699530485- Practice location
- 1401 E Jefferson St, Phoenix, AZ 85034-2315
- Phone
- 602-492-1875
- Fax
- —
- Last updated
- February 20, 2024
Abra Health LLC is a healthcare organization based in Phoenix, AZ. The NPI number for Abra Health LLC is 1699530485. The current practice location address is 1401 E Jefferson St, Phoenix, AZ 85034-2315 and the office can be reached by phone at 602-492-1875. The NPI was assigned on February 20, 2024 and the record was last updated in NPPES on February 20, 2024.
●Provider Profile Details
- NPI Number
- 1699530485
- Provider Name
- Abra Health LLC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Clinic/Center, Community Health · 261QC1500X
- Organization Subpart
- No
- Authorized Official
- Da'Mond O Gadson, DBH, LPC, MPC, MED · President · 602-518-0214
- Enumeration Date
- February 20, 2024
- Last Update Date
- February 20, 2024
- Certification Date
- February 20, 2024
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 1401 E Jefferson St
Phoenix, AZ 85034-2315 - City
- Phoenix
- State
- Arizona
- ZIP
- 85034-2315
- Country
- US
- Phone Number
- 602-492-1875
✉Business Mailing Address
- Address
- 7214 W Reade Ave
Glendale, AZ 85303-6124 - City
- Glendale
- State
- AZ
- ZIP
- 85303-6124
- Phone Number
- 602-518-0214
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Counselor 193200000X - Multi-Specialty Group | 101Y00000X | No | — | — |
| Counselor, Professional | 101YP2500X | No | — | — |
| Day Training, Developmentally Disabled Services | 251C00000X | No | — | — |
| Public Health or Welfare | 251K00000X | No | — | — |
| Community/Behavioral Health | 251S00000X | No | — | — |
| Clinic/Center, Health Services | 261QH0100X | No | — | — |
| Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | No | — | — |
| Respite Care, Respite Care, Physical Disabilities, Child | 385HR2065X | No | — | — |
| Clinic/Center, Community Health | 261QC1500X | Yes | — | — |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Phoenix →?Frequently Asked Questions
What is the NPI number of Abra Health LLC?
The NPI number of Abra Health LLC is 1699530485. It was assigned on February 20, 2024 and is currently active in the NPPES registry.
What is the specialty of Abra Health LLC?
Abra Health LLC is registered under the primary taxonomy Clinic/Center, Community Health (code 261QC1500X).
Where does Abra Health LLC practice?
The practice location is 1401 E Jefferson St, Phoenix, AZ 85034-2315. The office can be reached at 602-492-1875 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1699530485 directly on the NPPES registry website at npiregistry.cms.hhs.gov.