MEDICARE: TERIS HEALTH SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251S00000X	Community/Behavioral Health Agency
2	363LP2300X	Primary Care Nurse Practitioner
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
4	101YP2500X	Professional Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215422126
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TERIS HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	6635 W HAPPY VALLEY RD STE A104-621
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85310-2609
Country	:	US
Telephone Number	:	602-358-7073
Fax Number	:	888-927-0409

Provider Business Practice Location Address
First Line	:	14040 N CAVE CREEK RD STE 104
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85022-6117
Country	:	US
Telephone Number	:	602-358-7073
Fax Number	:	888-927-0409

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	TERI ANN HOURIHAN
Credential	:
Telephone Number	:	602-503-0710

Provider Enumeration Date	:	06/25/2018
Last Update Date	:	06/16/2026

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Directions to “TERIS HEALTH SERVICES LLC ” Practice Location

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