# ANGEL HEART HEALTH CENTER

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

## Provider details

- **NPI number:** 1750928818
- **Authorized official:** JOHNNY HANKSTON (OWNER)
- **Authorized official phone:** (702) 888-0263

## Contact information

- **Practice address:** 1641 E UNIVERSITY DR STE 101, MESA, AZ 85203-8131
- **Practice address phone:** (702) 888-0263
- **Mailing address:** 1641 E UNIVERSITY DR STE 101, MESA, AZ 85203-8131
- **Mailing address phone:** (702) 888-0263

## Taxonomy

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

## Other

- **Enumeration date:** 12/06/2019
- **Last updated:** 12/06/2019