Healthcare Provider Details

I. General information

NPI: 1467390807
Provider Name (Legal Business Name): HEALING HANDS INTEGRATIVE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

265 N FEDERAL ST STE 131
CHANDLER AZ
85226-1036
US

IV. Provider business mailing address

265 N FEDERAL ST STE 131
CHANDLER AZ
85226-1036
US

V. Phone/Fax

Practice location:
  • Phone: 602-715-2525
  • Fax: 602-715-2525
Mailing address:
  • Phone: 602-715-2525
  • Fax: 602-715-2525

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: HUGUETTE KENABANTU
Title or Position: NURSE PRACTITIONER
Credential: PMHNP-FNP
Phone: 480-524-7245