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Organization

ANOTHER LEVEL OF COMMUNITY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JIMMY ARMSTRONG BHT (OWNER)
(602) 434-8457
Entity
Organization

Contact information

Practice address
10827 N 18TH AVE, PHOENIX, AZ 85029-5796
(602) 434-8457
(855) 710-6464
Mailing address
6635 W HAPPY VALLEY RD # A104-172, GLENDALE, AZ 85310-2609
(602) 434-8457

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
101YP1600X
Pastoral Counselor
103TA0400X
Addiction (Substance Use Disorder) Psychologist
106S00000X
Behavior Technician
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
363LA2200X
Adult Health Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
549882
AZ
Enumeration date
05/26/2022
Last updated
07/12/2024
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