Healthcare Provider Details

I. General information

NPI: 1679351605
Provider Name (Legal Business Name): LINKS SOCIAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2023
Last Update Date: 09/20/2023
Certification Date: 01/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9225 N 3RD ST STE 307
PHOENIX AZ
85020-2466
US

IV. Provider business mailing address

9225 N 3RD ST STE 307
PHOENIX AZ
85020-2466
US

V. Phone/Fax

Practice location:
  • Phone: 602-472-8586
  • Fax:
Mailing address:
  • Phone: 602-472-8586
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 4
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: TINA JENEBA SHERIFF
Title or Position: OWNER
Credential: MSW
Phone: 602-472-8586