Provider Demographics
NPI:1487357711
Name:HELP MARICOPA COUNTY LLC
Entity type:Organization
Organization Name:HELP MARICOPA COUNTY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:OBADIAH
Authorized Official - Middle Name:
Authorized Official - Last Name:COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-884-5914
Mailing Address - Street 1:1438 W BROADWAY RD STE 209
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-1125
Mailing Address - Country:US
Mailing Address - Phone:602-884-5914
Mailing Address - Fax:
Practice Address - Street 1:1438 W BROADWAY RD STE 209
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-1125
Practice Address - Country:US
Practice Address - Phone:602-884-5914
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-24
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty