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Organization

GLORIA'S HOUSE OF HEALING

Active
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Organization

GLORIA'S HOUSE OF HEALING

Active
Other names
Gloria's House
Organization subpart
No

Provider details

NPI number
Authorized official
DELIA CONSENTINO LISAC (CEO)
(623) 256-0021
Entity
Organization

Contact information

Practice address
2022 N PACEY RD, PHOENIX, AZ 85037-6301
(623) 256-0021
Mailing address
2022 N PACEY RD, PHOENIX, AZ 85037-6301
(623) 256-0021

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
NULL
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
—
NULL
175T00000X
Peer Specialist
—
—

Other

Enumeration date
12/15/2022
Last updated
12/15/2022
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