# MESA HEALTH AND COMMUNITY RESOURCE CENTER LLC

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

## Provider details

- **NPI number:** 1700757580
- **Authorized official:** NICOLE D COLLINS (OWNER)
- **Authorized official phone:** (480) 825-8285

## Contact information

- **Practice address:** 7435 E MAIN ST STE 102, MESA, AZ 85207-8337
- **Practice address phone:** (480) 825-8285
- **Mailing address:** 4539 N 22ND ST STE B, PHOENIX, AZ 85016-4639
- **Mailing address phone:** (520) 422-2279

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 09/15/2025
- **Last updated:** 09/15/2025