Organization
HARBOR HEALTH INTEGRATED CARE CLINIC
Active
Parent organization
HEART OF HARBOR INTEGRATED CARE INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEART OF HARBOR INTEGRATED CARE INC
Authorized official
WILDINE BURGESS (EXECUTIVE ADMIN)
(240) 350-2863
Entity
Organization
Contact information
Practice address
4805 W THOMAS RD, PHOENIX, AZ 85031-4050
(602) 825-1659
Mailing address
4805 W THOMAS RD, PHOENIX, AZ 85031-4050
(602) 825-1659
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363L00000X
Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us