Organization
GO DEHP LLC
Active
Parent organization
GO DEHP LLC
Other names
17th Floor.VIP
Organization subpart
Yes
Provider details
NPI number
Legal business name
GO DEHP LLC
Authorized official
JOSETTE SULLINS (CEO)
(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 FL 17, PHOENIX, AZ 85012-1992
(480) 225-0555
Taxonomy
Speciality
Code
Description
License number
State
103TE1100X
Exercise & Sports Psychologist
Primary
—
—
171400000X
Health & Wellness Coach
—
—
202D00000X
Integrative Medicine Physician
—
—
2251S0007X
Sports Physical Therapist
—
—
Other
Enumeration date
11/17/2023
Last updated
06/18/2024
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