JOB ELLIOTT (NPI# 1932564697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932564697 |
Entity Type | Individual |
Full Name | JOB ELLIOTT |
Credential | L.I.S.A.C., L.A.C. |
Practice Address |
4105 W Saint Charles Ave Phoenix AZ 85041 |
Mailing Address |
4105 W Saint Charles Ave Phoenix AZ 85041-4980 |
Practice Telephone | 4802335511 |
Mailing Telephone | 4802335511 |
Enumeration Date | 2015-12-23 |
Last Update Date | 2015-12-23 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | LAC-15368 | AZ | Behavioral Health & Social Service Providers |
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LISAC-15039 | AZ | Behavioral Health & Social Service Providers |
Street Address |
4105 W SAINT CHARLES AVE |
City | PHOENIX |
State | AZ |
Zip Code | 85041 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558915843 | Our Home of Unity LLC | Counselor | 6804 S 21st Dr, Phoenix, AZ 85041 | 2019-07-25 |
1447816590 | Mbong Jerry Ngwese | Physical Therapist | 2546 West Bloch Rd, Phoenix, AZ 85041 | 2019-05-14 |
1588228373 | Arizona Dental Management | Dentist | 3515 West Southern Avenue, Suite #152, Phoenix, AZ 85041 | 2019-04-26 |
1447780135 | Mesa Dental Arizona LLC | Dentist | 3320 W Southern Ave #111, Phoenix, AZ 85041 | 2017-06-14 |
1376914739 | Black Family and Child Services Inc | Community/Behavioral Health | 6811 West 33rd Ave, Phoenix, AZ 85041 | 2015-10-12 |
1972900983 | Love Living Life | Assisted Living Facility | 5737 S. 34th Ave, Phoenix, AZ 85041 | 2014-11-20 |
1891114641 | Maricopa County Special Health Care District | General Acute Care Hospital | 5650 S 35th Ave, Phoenix, AZ 85041 | 2014-04-09 |
1265616213 | Southern Dental | Dentist | 3320 W. Southern Avenue, Suite # 108, Phoenix, AZ 85041 | 2007-12-27 |
1518140086 | Arizona Cvs Stores,l.l.c. | Durable Medical Equipment & Medical Supplies | 7550 South 19th Ave, Phoenix, AZ 85041 | 2007-12-07 |
1043366941 | Eric Roger Davis | Contractor | 7416 S 24th Ln, Phoenix, AZ 85041 | 2007-01-25 |
Find all providers in zip 85041 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649885716 | Global Family LLC | Counselor | 4523 N 92nd Ave, Phoenix, AZ 85037-2450 | 2020-09-15 |
1982218772 | Bashar Aldeen | Counselor | 3401 W Country Gables Dr, Phoenix, AZ 85053-4756 | 2020-08-31 |
1508478082 | Tahonna Latreise Surrell | Counselor | 3236 E Chandler Blvd Unit 1034, Phoenix, AZ 85048-7281 | 2020-08-17 |
1346858883 | Heather Romero | Counselor | 110 W Camelback Rd Ste 200, Phoenix, AZ 85013-2564 | 2020-07-21 |
1134747546 | Arcadian Homes, LLC | Counselor | 5924 W Trumbull Rd, Phoenix, AZ 85043-1967 | 2020-07-13 |
1902423023 | Danielle Jeanette Le Blanc | Counselor | 3228 W Silver Sage Ln, Phoenix, AZ 85083-5866 | 2020-07-06 |
1366060477 | Rising Phoenix Neighborhood | Counselor | 202 E Earll Dr Unit 360-35, Phoenix, AZ 85012-2634 | 2020-07-06 |
1043832504 | Candice Marie Isaacson | Counselor | 2911 W Sunnyside Dr, Phoenix, AZ 85029-3302 | 2020-05-07 |
1639799356 | Harbor Health | Counselor | 3213 S 66th Ave, Phoenix, AZ 85043-1922 | 2020-04-22 |
1083247357 | Edward Scott White | Counselor | 2150 E Bell Rd Unit 1042, Phoenix, AZ 85022-2973 | 2020-02-14 |
Find all providers in PHOENIX |
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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.