Healthcare Provider Details

I. General information

NPI: 1851874036
Provider Name (Legal Business Name): ARIZONA'S NEW HOPE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2018
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

919 N DYSART RD STE F
AVONDALE AZ
85323-1711
US

IV. Provider business mailing address

PO BOX 129
LITCHFIELD PARK AZ
85340-0129
US

V. Phone/Fax

Practice location:
  • Phone: 623-439-7472
  • Fax: 623-439-7349
Mailing address:
  • Phone: 623-439-7472
  • Fax: 623-439-7349

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. ELIAS MORAN JR.
Title or Position: CEO
Credential: LPC
Phone: 623-466-4159