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Organization

HOFUNITY BEHAVIORAL HEALTH LLC

Active
Parent organization
HOFUNITY BEHAVIORAL HEALTH LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
HOFUNITY BEHAVIORAL HEALTH LLC
Authorized official
MRS. TLAHJONTE HOPSON BHT (CEO/ADMINISTRATOR)
(602) 799-2757
Entity
Organization

Contact information

Practice address
6804 S 21ST DR, PHOENIX, AZ 85041
(503) 891-0610
(480) 525-7974
Mailing address
4513 W LODGE DR, LAVEEN, AZ 85339-7788
(602) 799-2757
(480) 525-7974

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
103K00000X
Behavior Analyst
103TA0400X
Addiction (Substance Use Disorder) Psychologist
104100000X
Social Worker
106E00000X
Assistant Behavior Analyst
106S00000X
Behavior Technician
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
163WP0808X
Psychiatric/Mental Health Registered Nurse
171M00000X
Case Manager/Care Coordinator
251S00000X
Community/Behavioral Health Agency
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
323P00000X
Psychiatric Residential Treatment Facility
324500000X
Substance Abuse Rehabilitation Facility
343900000X
Non-emergency Medical Transport (VAN)
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
090726
AZ
05
598598
AZ
01
BH5550
AZ DEPT OF HEALTH
AZ
01
BH5731
AZ DEPT OF HEALTH
AZ
01
BH5738
AZ DEPT OF HEALTH
AZ
01
BH5904
AZ DEPT OF HEALTH
AZ
01
BH5953
AZ DEPT OF HEALTH
AZ
01
BH6634
AZ DEPT OF HEALTH
AZ
01
BHRF20163
AZ DEPT OF HEALTH
AZ
Enumeration date
07/25/2019
Last updated
04/20/2026
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