Healthcare Provider Details

I. General information

NPI: 1528989860
Provider Name (Legal Business Name): THERAPY BUILDERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6635 W HAPPY VALLEY RD STE A104-218
GLENDALE AZ
85310-2609
US

IV. Provider business mailing address

6635 W HAPPY VALLEY RD STE A104-218
GLENDALE AZ
85310-2609
US

V. Phone/Fax

Practice location:
  • Phone: 651-354-1155
  • Fax: 480-771-5570
Mailing address:
  • Phone: 651-354-1155
  • Fax: 480-771-5570

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DANIELLE OLIVIA OLIVAREZ
Title or Position: SPEECH LANGUAGE PATHOLOGIST ASSIST
Credential:
Phone: 310-497-6349