Healthcare Provider Details

I. General information

NPI: 1710829338
Provider Name (Legal Business Name): ESSENTIAL CARE PROVIDERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2026
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

983 E STIRRUP LN
SAN TAN VALLEY AZ
85143-6320
US

IV. Provider business mailing address

983 E STIRRUP LN
SAN TAN VALLEY AZ
85143-6320
US

V. Phone/Fax

Practice location:
  • Phone: 602-835-9797
  • Fax:
Mailing address:
  • Phone: 602-835-9797
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: LASHON T. STEWART
Title or Position: ADMINISTRATOR
Credential:
Phone: 602-835-9797