Healthcare Provider Details

I. General information

NPI: 1710857917
Provider Name (Legal Business Name): FND HEALING CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2025
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4649 N 177TH DR
GOODYEAR AZ
85395-4403
US

IV. Provider business mailing address

4649 N 177TH DR
GOODYEAR AZ
85395-4403
US

V. Phone/Fax

Practice location:
  • Phone: 480-434-1272
  • Fax:
Mailing address:
  • Phone: 480-434-1272
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MR. BRIAN RICHARD EVANS
Title or Position: OWNER/MANAGING MEMBER
Credential: LPC
Phone: 623-399-7361