Healthcare Provider Details

I. General information

NPI: 1437084084
Provider Name (Legal Business Name): UNITED INTEGRATED HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7550 N 19TH AVE STE 104
PHOENIX AZ
85021-7982
US

IV. Provider business mailing address

3135 E TINA DR
PHOENIX AZ
85050-0003
US

V. Phone/Fax

Practice location:
  • Phone: 480-803-6593
  • Fax:
Mailing address:
  • Phone: 480-803-6593
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: PORSCHE WOODARD
Title or Position: OWNER / CEO
Credential:
Phone: 480-803-6593