MEDICARE: DEHP LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	251S00000X	Community/Behavioral Health Agency
3	261Q00000X	Clinic/Center
4	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1356217095
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEHP LLC

Provider Business Mailing Address
First Line	:	3800 N CENTRAL AVE STE 1010
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85012-1918
Country	:	US
Telephone Number	:	602-566-7627
Fax Number	:	602-566-7627

Provider Business Practice Location Address
First Line	:	3336 N 32ND ST STE 111
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85018-6241
Country	:	US
Telephone Number	:	623-931-1052
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL BILLER
Name	:	MEREDITH A MATICS
Credential	:
Telephone Number	:	714-292-2666

Provider Enumeration Date	:	10/10/2025
Last Update Date	:	10/10/2025

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Directions to “DEHP LLC ” Practice Location

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