Healthcare Provider Details

I. General information

NPI: 1659236602
Provider Name (Legal Business Name): GIFTED CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2025
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10933 W COTTONWOOD LN
AVONDALE AZ
85392-4322
US

IV. Provider business mailing address

10933 W COTTONWOOD LN
AVONDALE AZ
85392-4322
US

V. Phone/Fax

Practice location:
  • Phone: 602-616-0723
  • Fax:
Mailing address:
  • Phone: 602-616-0723
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. LAWRENCE EUGENE GOMES II
Title or Position: OWNER
Credential: N/A
Phone: 602-616-0723