Healthcare Provider Details

I. General information

NPI: 1104541648
Provider Name (Legal Business Name): BLESSING LUNGU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2022
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4100 S LINDSAY RD STE 124
GILBERT AZ
85297-1508
US

IV. Provider business mailing address

909 E CAMELBACK RD # 2049
PHOENIX AZ
85014-3687
US

V. Phone/Fax

Practice location:
  • Phone: 480-818-9276
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: