# UMBRELLA HEALTHCARE SOLUTIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114603420
- **Authorized official:** MOHAMED KHALIL (OWNER / CEO)
- **Authorized official phone:** (602) 362-2983

## Contact information

- **Practice address:** 9225 N 3RD ST STE 203, PHOENIX, AZ 85020-2464
- **Practice address phone:** (602) 362-2983
- **Practice address fax:** (480) 565-4552
- **Mailing address:** 9225 N 3RD ST STE 203, PHOENIX, AZ 85020-2464
- **Mailing address phone:** (602) 362-2983
- **Mailing address fax:** (480) 565-4552

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 103TC1900X | Counseling Psychologist | — | NULL | — |
| 103TC1900X | Counseling Psychologist | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |

## Other

- **Enumeration date:** 06/22/2023
- **Last updated:** 08/24/2023