MEDICARE: THE HUMMINGBIRD PATH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1154205185
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE HUMMINGBIRD PATH LLC

Provider Business Mailing Address
First Line	:	4425 E AGAVE RD STE 106
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85044-0620
Country	:	US
Telephone Number	:	623-925-9327
Fax Number	:	623-925-9327

Provider Business Practice Location Address
First Line	:	4425 E AGAVE RD STE 106
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85044-0620
Country	:	US
Telephone Number	:	623-295-9327
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CYNTHIA DJENGUE
Credential	:	LCSW
Telephone Number	:	623-295-9327

Provider Enumeration Date	:	08/04/2025
Last Update Date	:	01/06/2026

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Directions to “THE HUMMINGBIRD PATH LLC ” Practice Location

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