Organization
2 LUV 1 ANOTHER WELLNESS & CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SONYA JENNINGS CEO (DIRECTOR)
(562) 726-0415
Entity
Organization
Contact information
Practice address
2222 N 24TH ST, PHOENIX, AZ 85008-2716
(602) 975-6859
(602) 906-3484
Mailing address
9322 W BONITOS RD, PHOENIX, AZ 85037-6300
(596) 736-0415
(602) 609-3484
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
106S00000X
Behavior Technician
—
—
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172A00000X
Driver
—
—
225XM0800X
Mental Health Occupational Therapist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093455396
CLINICAL DIRECTOR NPI-PATRICK ANDERSON, LISAC
AZ
05
—
BH7608
—
AZ
Enumeration date
06/05/2022
Last updated
07/23/2022
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