Healthcare Provider Details

I. General information

NPI: 1386049104
Provider Name (Legal Business Name): UPWARD SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2014
Last Update Date: 04/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11024 NORTH 28TH DRIVE - SUITE #200 LAKE BILTMORE CORPORATE CENTER
PHOENIX AZ
85020
US

IV. Provider business mailing address

3039 WEST PEORIA AVE. SUITE # C-102-164
PHOENIX AZ
85029
US

V. Phone/Fax

Practice location:
  • Phone: 602-332-6115
  • Fax:
Mailing address:
  • Phone: 602-332-6115
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLPC#11904
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberABCAC#1908
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC#11904
License Number StateAZ
# 4
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC#11904
License Number StateAZ

VIII. Authorized Official

Name: DR. MAURIE S. COMENZO
Title or Position: OWNER/COUNSELOR - THERAPIST
Credential: PHD, LPC, ABCAC
Phone: 602-332-6115