# LOYALTY HOUSE LLC

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

## Provider details

- **NPI number:** 1255033684
- **Authorized official:** SIMON GEORGE NP (CLINICAL OVERSITE)
- **Authorized official phone:** (316) 209-7731

## Contact information

- **Practice address:** 1626 N 7TH ST, PHOENIX, AZ 85006-2203
- **Practice address phone:** (480) 382-6196
- **Mailing address:** 1626 N 7TH ST, PHOENIX, AZ 85006-2203
- **Mailing address phone:** (480) 382-6196

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 03/20/2023
- **Last updated:** 03/20/2023