Organization
DIGNITY LIVING CLINICS OF NORTH AMERICA
Active
Other names
Dignity Living Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE HENDERSHOTT FNP, MSN, RN, BSN (CLINICAL DIRECTOR)
(480) 524-3422
Entity
Organization
Contact information
Practice address
4140 W NORTHERN AVE, PHOENIX, AZ 85051-5790
(480) 524-3422
(480) 247-5288
Mailing address
4140 W NORTHERN AVE, PHOENIX, AZ 85051-5790
(480) 524-3422
(480) 247-5288
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
347C00000X
Private Vehicle
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/02/2016
Last updated
06/02/2016
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