Healthcare Provider Details
I. General information
NPI: 1043146756
Provider Name (Legal Business Name): PHOENIX ETHICS CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/20/2026
Last Update Date: 06/20/2026
Certification Date: 06/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3905 N 7TH AVE UNIT 33232
PHOENIX AZ
85067-2612
US
IV. Provider business mailing address
PO BOX 33232
PHOENIX AZ
85067-3232
US
V. Phone/Fax
- Phone: 623-715-2301
- Fax:
- Phone: 623-715-2301
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 209800000X |
| Taxonomy | Legal Medicine (M.D./D.O.) Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174V00000X |
| Taxonomy | Clinical Ethicist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
JONATHAN
DAVID
CRAIG-MENDES
Title or Position: PRINCIPAL AND MANAGING MEMBER
Credential: JD, MBA, HEC-C
Phone: 623-715-2301