Organization
OUR HOME OF UNITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TLAHJONTE HOPSON OWNER (ADMINSTRATOR)
(602) 799-2757
Entity
Organization
Contact information
Practice address
7019 S 77TH LN, LAVEEN, AZ 85339-7231
(602) 761-2860
Mailing address
7141 W CARTER RD, LAVEEN, AZ 85339-7059
(503) 891-0610
(480) 525-7974
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
163W00000X
Registered Nurse
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
171M00000X
Case Manager/Care Coordinator
—
—
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
—
—
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
444686
—
AZ
01
—
BH5550
STATE OF ARIZONA DEPARTMENT OF HEALTH
AZ
01
—
BH5731
STATE OF ARIZONA DEPARTMENT OF HEALTH
AZ
01
—
BH5738
STATE OF ARIZONA DEPARTMENT 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
09/22/2018
Last updated
06/05/2024
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