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Organization
AMANAH HEALTH
Active
Organization
AMANAH HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE THOMAS LCSW (CLINICAL DIRECTOR)
(602) 642-2471
Entity
Organization
Contact information
Practice address
4616 N 51ST AVE STE 216, PHOENIX, AZ 85031-1716
(480) 490-8803
Mailing address
4616 N 51ST AVE STE 216, PHOENIX, AZ 85031-1716
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
251B00000X
Case Management Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
261Q00000X
Clinic/Center
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
324500000X
Substance Abuse Rehabilitation Facility
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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