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NPI Code Detail

MEDICARE: ASPIRE HEALING CENTERS

MEDICARE: ASPIRE HEALING CENTERS
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
1101YA0400XAddiction (Substance Use Disorder) Counselor
2133NN1002XNutrition Education Nutritionist
3164W00000XLicensed Practical Nurse
4171400000XHealth & Wellness Coach
5171M00000XCase Manager/Care Coordinator
6172A00000XDriver
7175T00000XPeer Specialist
82084P0802XAddiction Psychiatry Physician
9324500000XSubstance Abuse Rehabilitation Facility
101041C0700XClinical Social Worker

General Provider Information

NPI Number : 1356121768
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASPIRE HEALING CENTERS
Provider Business Mailing Address
First Line : 4500 S LAKESHORE DR STE 415
Second Line :
City : TEMPE
State : AZ
Zip : 85282-7056
Country : US
Telephone Number : 480-241-9824
Fax Number :
Provider Business Practice Location Address
First Line : 4500 S LAKESHORE DR STE 415
Second Line :
City : TEMPE
State : AZ
Zip : 85282-7056
Country : US
Telephone Number : 480-241-9824
Fax Number :
Authorized Official
Title or Position : OWNER OPERATOR
Name : SHERRI HICKS
Credential : LCSW
Telephone Number : 480-241-9824
Provider Enumeration Date : 10/03/2023
Last Update Date : 10/03/2023

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Directions to “ASPIRE HEALING CENTERS ” Practice Location

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