Organization
OMNIPOTENT HEALTH SERVICES
Active
Other names
Omnipotent Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN OPUROKU MA LPC (THERAPIST)
(602) 750-3356
Entity
Organization
Contact information
Practice address
3442 W PARADISE DR, PHOENIX, AZ 85029-2239
(602) 750-3356
Mailing address
2825 E WAGONER RD, PHOENIX, AZ 85032-8829
(602) 750-3356
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
—
—
103K00000X
Behavior Analyst
—
—
1041C0700X
Clinical Social Worker
—
—
1041S0200X
School Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
L20894295
—
AZ
Enumeration date
03/03/2020
Last updated
03/03/2020
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