FOUNDATION FOR HEALING, LLC (NPI# 1205325198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205325198 |
| Entity Type | Organization |
| Organization Name | FOUNDATION FOR HEALING, LLC |
| Practice Address |
7148 N Sunrise Vis Prescott Valley AZ 86315-3039 |
| Mailing Address |
3298 N Glassford Hill Rd Ste 104-220 Prescott Valley AZ 86314-1294 |
| Practice Telephone | 8283333485 |
| Mailing Telephone | 8283333485 |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | DEBORAH M. JOHANSEN (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 8283333485 |
| Authorized Official Credential | MS, LPC, NCC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
LPC-14026 | AZ | Ambulatory Health Care Facilities |
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 273868 | 05 | |
| AZ | NPI | 1417409483 | 01 |
| Street Address |
7148 N SUNRISE VIS |
| City | PRESCOTT VALLEY |
| State | AZ |
| Zip Code | 86315-3039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114540960 | Steffainy Jessie Hefley | Physician Assistant | 11025 N. Rowdy Bunch Pass, Prescott Valley, AZ 86315 | 2020-05-27 |
| 1790333003 | Colleen Flora Petullo | Family Medicine | 9695 N. Fiorella St., Prescott Valley, AZ 86315 | 2019-08-29 |
| 1144831728 | Complete Family Care LLC | Home Health | 7361 E Plateau Ridge Rd, Prescott Valley, AZ 86315-3470 | 2020-08-16 |
| 1679796700 | Heather R Tarlow-edwards | Psychologist | 8103 N Winding Trl, Prescott Valley, AZ 86315-4002 | 2007-04-10 |
| 1851381388 | Gayle L Gregory | Psychiatry & Neurology | 15801 E Don Carlos Dr, Prescott Valley, AZ 86315-4109 | 2005-10-26 |
| 1417596594 | Carrie Kinsey | Midwife | 7115 E Whisper Ranch Rd, Prescott Valley, AZ 86315-4742 | 2020-01-06 |
| 1497302475 | Sharon Ann Roberts | Technician | 7260 E Racers Way, Prescott Valley, AZ 86315-4823 | 2019-08-23 |
| 1992837231 | Debra Lee Wallett | Psychologist | 9595 N Paquette Cir, Prescott Valley, AZ 86315-6864 | 2007-03-12 |
| 1003368887 | Virginia Martinez | Counselor | 7776 E Painted Wagon Path, Prescott Valley, AZ 86315-7811 | 2016-10-27 |
| 1326365107 | Stacey Margarette Edwards | Specialist/Technologist | 7626 E Tumble Weed Rd, Prescott Valley, AZ 86315-9027 | 2010-05-03 |
| Find all providers in zip 86315 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427224443 | Arizona Grand Medical Center Pllc | Clinic/Center | 7900 E Florentine Rd, Prescott Valley, AZ 86314-2218 | 2008-04-30 |
| 1649262965 | Physician Business Services, LLC | Clinic/Center | 3051 N Windsong Dr, Prescott Valley, AZ 86314-2248 | 2005-08-22 |
| 1740896968 | Vasco Healthcare Inc | Clinic/Center | 3237 N Windsong Dr, Prescott Valley, AZ 86314-1222 | 2020-09-22 |
| 1780179044 | Mountain Valley Regional Rehabilitation Hospital Inc | Clinic/Center | 3700 N Windsong Dr, Prescott Valley, AZ 86314-1253 | 2018-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254918 | Assyrian Family Health Alliance | Clinic/Center | 10210 N 32nd St Ste C6, Phoenix, AZ 85028-3826 | 2020-10-26 |
| 1659970242 | Orthopedic Specialists of North America Pllc | Clinic/Center | 33300 N 32nd Ave, Phoenix, AZ 85085-8877 | 2020-10-23 |
| 1689273542 | Orthopedic Specialists of North America Pllc | Clinic/Center | 33400 N 32nd Ave Fl 1, Phoenix, AZ 85085-8876 | 2020-10-21 |
| 1629676317 | Bethel Hills Integrated Healthcare | Clinic/Center | 13838 S 46th Pl Ste 300, Phoenix, AZ 85044-7804 | 2020-10-14 |
| 1639786585 | Crossover Health Medical Group | Clinic/Center | 1847 E Southern Ave Ste 3, Tempe, AZ 85282-5881 | 2020-09-24 |
| 1821605775 | Crossover Health Medical Group | Clinic/Center | 5251 W Campbell Ave Ste 200, Phoenix, AZ 85031-1719 | 2020-09-24 |
| 1649887597 | Crossover Health Medical Group | Clinic/Center | 8343 W Van Buren St Bldg C-2, Tolleson, AZ 85353-3225 | 2020-09-24 |
| 1235745464 | Vasco Healthcare Inc | Clinic/Center | 2110 W 24th St Ste A, Yuma, AZ 85364-8878 | 2020-09-22 |
| 1265048490 | Vasco Healthcare Inc | Clinic/Center | 8952 E Desert Cove Ave Ste 204, Scottsdale, AZ 85260-6777 | 2020-09-22 |
| 1942816160 | Vasco Healthcare Inc | Clinic/Center | 13026 W Rancho Santa Fe Blvd Ste B100, Avondale, AZ 85392-1712 | 2020-09-22 |
| Find all providers with the same taxonomy | ||||
| City | PRESCOTT VALLEY |
| Zip Code | 86315 |
Please comment or provide details below to improve the information on FOUNDATION FOR HEALING, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.