STABLE FOUNDATIONS THERAPY PLLC


Address: 12115 N Peaks Pkwy, Flagstaff, AZ 86004-5589
Phone: 6236060883

STABLE FOUNDATIONS THERAPY PLLC (NPI# 1962013474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962013474
Entity Type Organization
Organization Name STABLE FOUNDATIONS THERAPY PLLC
Practice Address 12115 N Peaks Pkwy
Flagstaff
AZ 86004-5589
Practice Telephone 6236060883
Mailing Telephone 6236060883
Enumeration Date 2020-08-10
Last Update Date 2020-08-10
Authorized Official Name DR. LAUREN HALL (OWNER)
Authorized Official Telephone 6236060883
Authorized Official Credential OTD, OTR/L
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Office Location

Street Address 12115 N PEAKS PKWY
City FLAGSTAFF
State AZ
Zip Code 86004-5589

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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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Competitor

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City FLAGSTAFF
Zip Code 86004

Improve Information

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Dataset Information

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.

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