Organization
ONE COMMUNITY AZ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMEKA GREEN (OWNER)
(702) 695-8006
Entity
Organization
Contact information
Practice address
18444 N 25TH AVE STE 420, PHOENIX, AZ 85023-1268
(702) 695-8006
Mailing address
18444 N 25TH AVE STE 420, PHOENIX, AZ 85023-1268
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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