Healthcare Provider Details

I. General information

NPI: 1851223960
Provider Name (Legal Business Name): SARAH BROIS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1757 E BASELINE RD BLDG 1
GILBERT AZ
85233-1532
US

IV. Provider business mailing address

1112 S SAN JOSE APT 9-208
MESA AZ
85202-3813
US

V. Phone/Fax

Practice location:
  • Phone: 480-712-9372
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: SARAH BROIS
Title or Position: OWNER
Credential:
Phone: 480-712-9372