Organization
HOFUNITY BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TLAHJONTE HOPSON OWNER (ADMINISTRATOR)
(602) 799-2757
Entity
Organization
Contact information
Practice address
4714 W ST KATERI DR, LAVEEN, AZ 85339-8200
(602) 799-2757
(480) 525-7974
Mailing address
7141 W CARTER RD, LAVEEN, AZ 85339-7059
(602) 799-2757
(480) 525-7974
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
106S00000X
Behavior Technician
—
—
133V00000X
Registered Dietitian
—
—
163W00000X
Registered Nurse
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
172A00000X
Driver
—
—
251S00000X
Community/Behavioral Health Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH6634
AZ DEPT OF HEALTH
AZ
01
—
BH6635
AZ DEPT OF HEALTH
AZ
Enumeration date
02/22/2021
Last updated
07/25/2022
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