Healthcare Provider Details

I. General information

NPI: 1801559141
Provider Name (Legal Business Name): ARISE COMMUNITY SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2021
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13980 N 67TH AVE STE 1
GLENDALE AZ
85306-3715
US

IV. Provider business mailing address

13980 N 67TH AVE STE 1
GLENDALE AZ
85306-3715
US

V. Phone/Fax

Practice location:
  • Phone: 623-755-9690
  • Fax: 623-264-3324
Mailing address:
  • Phone: 623-755-9690
  • Fax: 623-264-3324

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: LYDIA SANABRIA
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 623-755-9690