MEDICARE: UNITED INTEGRATED HEALTH LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1437084084
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITED INTEGRATED HEALTH LLC

Provider Business Mailing Address
First Line	:	3135 E TINA DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85050-0003
Country	:	US
Telephone Number	:	480-803-6593
Fax Number	:

Provider Business Practice Location Address
First Line	:	7550 N 19TH AVE STE 104
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85021-7982
Country	:	US
Telephone Number	:	480-803-6593
Fax Number	:

Authorized Official
Title or Position	:	OWNER / CEO
Name	:	PORSCHE WOODARD
Credential	:
Telephone Number	:	480-803-6593

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

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Directions to “UNITED INTEGRATED HEALTH LLC ” Practice Location

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