Healthcare Provider Details

I. General information

NPI: 1053237578
Provider Name (Legal Business Name): NEHEMIAH ABUGA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

237 N 18TH ST
COOLIDGE AZ
85128-4317
US

IV. Provider business mailing address

12474 W FOREST PLEASANT PL
PEORIA AZ
85383-5666
US

V. Phone/Fax

Practice location:
  • Phone: 503-741-9997
  • Fax:
Mailing address:
  • Phone: 480-450-5020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: