Healthcare Provider Details

I. General information

NPI: 1346018793
Provider Name (Legal Business Name): YOUR OPTIONS UNLIMITED (YOU)
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2023
Last Update Date: 12/31/2023
Certification Date: 12/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17100 E SHEA BLVD STE 225
FOUNTAIN HILLS AZ
85268-6744
US

IV. Provider business mailing address

17100 E SHEA BLVD STE 225
FOUNTAIN HILLS AZ
85268-6744
US

V. Phone/Fax

Practice location:
  • Phone: 602-877-8072
  • Fax:
Mailing address:
  • Phone: 602-877-8072
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code405300000X
TaxonomyPrevention Professional
License Number
License Number State

VIII. Authorized Official

Name: FADIL LABIB
Title or Position: PROGRAMS DIRECTOR
Credential:
Phone: 602-545-6126