HEALING SERVICE AGENCY LLC (NPI# 1831685320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831685320 |
| Entity Type | Organization |
| Organization Name | HEALING SERVICE AGENCY LLC |
| Other Organization Name | HSA |
| Practice Address |
17505 N 79th Ave Ste 203 Glendale AZ 85308-8726 |
| Practice Telephone | 6238505400 |
| Practice Fax Number | 6233217850 |
| Mailing Telephone | 6238505400 |
| Mailing Fax Number | 6233217850 |
| Enumeration Date | 2018-07-08 |
| Last Update Date | 2020-07-31 |
| Authorized Official Name | MR. BRENT PAUL MARSHALL (SOLE OWNER) |
| Authorized Official Telephone | 6238505400 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
LCSW-17245 | AZ | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| HSA | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 19609 S Mcqueen Rd, Chandler, AZ 852861903 | 6238505400 | 6233217850 |
| Street Address |
17505 N 79TH AVE STE 203 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85308-8726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508227687 | Lydia Christine Veratti | Nurse Practitioner | 17505 N 79th Ave Ste 203, Glendale, AZ 85308-8726 | 2016-03-16 |
| 1295341808 | Joint Healing Operations | Case Manager/Care Coordinator | 17505 N 79th Ave Ste 203, Glendale, AZ 85308-8726 | 2020-09-18 |
| 1952916538 | Donald Eugene Joseph Jacobson Jr. | Case Manager/Care Coordinator | 17505 N 79th Ave Ste 203, Glendale, AZ 85308-8726 | 2020-09-10 |
| 1932731395 | Elizabeth Ann Bryant | Nurse Practitioner | 17505 N 79th Ave Ste 203, Glendale, AZ 85308-8726 | 2020-02-04 |
| 1538689575 | Brent Paul Marshall | Social Worker | 17505 N 79th Ave Ste 203, Glendale, AZ 85308-8726 | 2017-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
| 1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
| 1033742291 | Kaitlyn Marie Shannon | Dietitian, Registered | 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 | 2020-02-17 |
| 1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
| 1013567023 | Caitlyn Heredia | Student in an Organized Health Care Education/Training Program | 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 | 2019-09-12 |
| 1770141061 | Sydney Dangelo | Student in an Organized Health Care Education/Training Program | 7454 W Denaro Dr, Glendale, AZ 85308 | 2019-05-31 |
| 1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
| 1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
| 1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
| 1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
| Find all providers in zip 85308 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578125738 | Banner Physician Super Specialists Arizona LLC | Clinic/Center | 5310 W Thunderbird Rd Ste 214, Glendale, AZ 85306-4722 | 2019-07-08 |
| 1992136576 | Best Choice Medical | Clinic/Center | 541 W Colorado St Ste 206, Glendale, CA 91204-3640 | 2013-12-06 |
| 1134412323 | Riverside Fletcher Medical Group | Clinic/Center | 1915 W Glenoaks Blvd # 101, Glendale, CA 91201-1541 | 2011-05-20 |
| 1396903571 | The Massage Fix Inc | Clinic/Center | 3600 Ocean View Blvd, Suite 1, Glendale, CA 91208-1272 | 2008-05-24 |
| 1023208212 | Arrowhead Health Center & Spa, Pllc | Clinic/Center | 17100 W 67th Ave, 300, Glendale, AZ 85308-3605 | 2007-07-25 |
| 1376582775 | Columbia St Mary's Hospital Ozaukee, Inc. | Clinic/Center | 4425 N Port Washington Rd, Glendale, WI 53212-1082 | 2006-06-05 |
| 1659735504 | Tulaya Wellness Corp | Clinic/Center | 6789 N Green Bay Ave, Glendale, WI 53209-3472 | 2016-04-07 |
| 1912379090 | Quick Med Center LLC | Clinic/Center | 5104 N 67th Ave, Glendale, AZ 85301 | 2015-10-28 |
| 1821368218 | Banner Physician Specialists Arizona LLC | Clinic/Center | 10150 N 67th Ave, Ste 101, Glendale, AZ 85302-1004 | 2012-01-03 |
| 1356571228 | Brand Medical Center | Clinic/Center | 620 N Brand Blvd, Suite 403, Glendale, CA 91203-4208 | 2009-07-24 |
| Find all providers in GLENDALE | ||||
Please comment or provide details below to improve the information on HEALING SERVICE AGENCY 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.