Organization
CHAPTER 1, STARTING OVER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY ROGERS (CEO/OWNER)
(336) 459-5623
Entity
Organization
Contact information
Practice address
4225 W GLENDALE AVE STE E104, PHOENIX, AZ 85051-8153
(336) 459-5623
Mailing address
5923 S 12TH LN, PHOENIX, AZ 85041-0023
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/03/2025
Last updated
02/03/2026
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