Organization
GO DEHP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSETTE SULLINS (CEO/OWNER)
(480) 225-0555
Entity
Organization
Contact information
Practice address
3800 N CENTRAL AVE FL 17, PHOENIX, AZ 85012-1992
(480) 225-0555
Mailing address
3800 N CENTRAL AVE STE 1010, PHOENIX, AZ 85012-1918
(480) 225-0555
Taxonomy
Speciality
Code
Description
License number
State
103TE1100X
Exercise & Sports Psychologist
—
—
171400000X
Health & Wellness Coach
—
—
202D00000X
Integrative Medicine Physician
Primary
—
—
2251S0007X
Sports Physical Therapist
—
—
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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