Healthcare Provider Details

I. General information

NPI: 1568223279
Provider Name (Legal Business Name): NATIVE AMERICAN CONNECTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2024
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

337 E VIRGINIA AVE UNIT B
PHOENIX AZ
85004-1220
US

IV. Provider business mailing address

3216 N 3RD ST
PHOENIX AZ
85012-2682
US

V. Phone/Fax

Practice location:
  • Phone: 602-424-2060
  • Fax:
Mailing address:
  • Phone: 602-254-3247
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SONIA SABERHAGEN
Title or Position: SR. DIRECTOR
Credential: LCSW
Phone: 480-356-0053