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Organization
SPIRIT-MIND-BODY HEALTHCARE PLLC
Active
Organization
SPIRIT-MIND-BODY HEALTHCARE PLLC
Active
Other names
Spirit-Mind-Body Behavioral Health, Spirit-Mind-Body Outpatient Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
EZINNE IROKU NP (CEO)
(623) 218-6691
Entity
Organization
Contact information
Practice address
9950 W VAN BUREN ST STE 115, AVONDALE, AZ 85323-5318
(623) 218-6691
Mailing address
8017 W ALBENIZ PL, PHOENIX, AZ 85043-1698
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
01/12/2022
Last updated
01/12/2023
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