Healthcare Provider Details

I. General information

NPI: 1134068653
Provider Name (Legal Business Name): SORENA HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 N CENTRAL AVE STE 1800
PHOENIX AZ
85004-2139
US

IV. Provider business mailing address

2 N CENTRAL AVE STE 1800
PHOENIX AZ
85004-2139
US

V. Phone/Fax

Practice location:
  • Phone: 520-447-1606
  • Fax: 520-244-3835
Mailing address:
  • Phone: 520-447-1606
  • Fax: 520-244-3835

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: BRANDON TOBIN
Title or Position: CEO
Credential:
Phone: 520-447-1606