Organization
OUR HOME OF UNITY LLC
Active
Parent organization
BH5954
Organization subpart
Yes
Provider details
NPI number
Legal business name
BH5954
Authorized official
TLAHJONTE HOPSON BHT (ADMINISTRATOR)
(602) 799-2757
Entity
Organization
Contact information
Practice address
8105 W MAGNOLIA ST, PHOENIX, AZ 85043-5420
(503) 891-0610
Mailing address
7141 W CARTER RD, LAVEEN, AZ 85339-7059
(503) 891-0610
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
172V00000X
Community Health Worker
—
—
207Q00000X
Family Medicine Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
598608
—
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
—
BH5954
AZ DEPT OF HEALTH
AZ
Enumeration date
10/22/2019
Last updated
06/05/2024
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