MEDICARE: HOFUNITY BEHAVIORAL HEALTH 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	101YM0800X	Mental Health Counselor
3	323P00000X	Psychiatric Residential Treatment Facility
4	385H00000X	Respite Care
5	101Y00000X	Counselor
6	101YA0400X	Addiction (Substance Use Disorder) Counselor
7	320800000X	Mental Illness Community Based Residential Treatment Facility
8	251S00000X	Community/Behavioral Health Agency
9	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
10	106S00000X	Behavior Technician
11	324500000X	Substance Abuse Rehabilitation Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	BH6634	OTHER	AZ	AZ DEPT OF HEALTH
2	BH6635	OTHER	AZ	AZ DEPT OF HEALTH

General Provider Information

NPI Number	:	1497346837
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOFUNITY BEHAVIORAL HEALTH LLC

Provider Business Mailing Address
First Line	:	4513 W LODGE DR
Second Line	:
City	:	LAVEEN
State	:	AZ
Zip	:	85339-7788
Country	:	US
Telephone Number	:	602-799-2757
Fax Number	:	480-525-7974

Provider Business Practice Location Address
First Line	:	6923 S 21ST DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85041-6566
Country	:	US
Telephone Number	:	602-799-2757
Fax Number	:	888-753-0530

Authorized Official
Title or Position	:	CEO, ADMINISTRATOR
Name	:	MRS. TLAHJONTE HOPSON
Credential	:	OWNER, BHT
Telephone Number	:	602-799-2757

Provider Enumeration Date	:	01/28/2021
Last Update Date	:	01/06/2026

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