Healthcare Provider Details

I. General information

NPI: 1922965318
Provider Name (Legal Business Name): PHOENIX THERAPISTS HUB COUNSELING GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16601 N 40TH ST STE 216
PHOENIX AZ
85032-3354
US

IV. Provider business mailing address

16601 N 40TH ST STE 216
PHOENIX AZ
85032-3354
US

V. Phone/Fax

Practice location:
  • Phone: 480-788-8466
  • Fax: 480-591-9426
Mailing address:
  • Phone: 480-788-8466
  • Fax: 480-591-9426

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number
License Number State

VIII. Authorized Official

Name: JUSTIN JORY
Title or Position: OWNER
Credential: MHA
Phone: 480-788-8466