SEMPER FIDELIS BEHAVIORAL HEALTH & COUNSELING, LLC

Address: 3606 E Baseline Rd Unit 288, Phoenix, AZ 85042-9617
Phone: 4804305491

SEMPER FIDELIS BEHAVIORAL HEALTH & COUNSELING, LLC (NPI# 1346860657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346860657
Entity Type Organization
Organization Name SEMPER FIDELIS BEHAVIORAL HEALTH & COUNSELING, LLC
Practice Address 3606 E Baseline Rd Unit 288
Phoenix
AZ 85042-9617
Practice Telephone 4804305491
Mailing Telephone 4804305491
Enumeration Date 2020-04-16
Last Update Date 2020-04-16
Authorized Official Name NASSON NATHAN (CEO)
Authorized Official Telephone 4804305491
Authorized Official Credential ADMINISTRATOR
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities
Y 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1881214195 Semper Fidelis Behavioral Health & Counseling, LLC Counselor 3606 E Baseline Rd Unit 288, Phoenix, AZ 85042-9617 2020-04-16

Office Location

Street Address 3606 E BASELINE RD UNIT 288
City PHOENIX
State AZ
Zip Code 85042-9617

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881214195 Semper Fidelis Behavioral Health & Counseling, LLC Counselor 3606 E Baseline Rd Unit 288, Phoenix, AZ 85042-9617 2020-04-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306443197 Da Homes LLC Case Management 8026 S. 24th Way, Phoenix, AZ 85042 2020-10-05
1144790460 Ebony House Inc Substance Abuse Rehabilitation Facility 6222 S. 13th Street, Phoenix, AZ 85042 2018-11-29
1427538362 Abigail Mcgrath Dietitian, Registered 303 E Baseline Rd Ste 200, Phoenix, AZ 85042 2018-08-20
1174028310 Olufemi A Omodara Pharmacist 7227 S. Central Ave, #1080, Phoenix, AZ 85042 2018-03-29
1720537699 Mary Youngblood Registered Nurse 7210 S 27th Way, Phoenix, AZ 85042 2016-10-03
1922490382 Brian Zembower Optometrist 610 E Baseline Rd Ste C3, Phoenix, AZ 85042 2015-02-23
1417299819 Robert Murphy Portley Psychiatry & Neurology 2320 E Baseline Rd Ste 148-225, Phoenix, AZ 85042 2013-03-23
1972807998 Obinna Chukwuka Akubukwe Pharmacist 6006 S. Central Avenue, Phoenix, AZ 85042 2011-01-05
1104120328 Gisheys Patient Care LLC Custodial Care Facility 7232 South 12th Place, Phoeniz, AZ 85042 2011-01-03
1245463488 Lois Ann Hammitt Registered Nurse 6218 S. 7th Street, Phoenix, AZ 85042 2009-09-03
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Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Notes: [7/1/2003: modified title, modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407450018 Native American Connections Substance Abuse Rehabilitation Facility 1431 E Dunlap Ave, Phoenix, AZ 85020-3026 2020-11-24
1932726361 Northstar Homecare LLC Substance Abuse Rehabilitation Facility 5239 S 33rd Dr, Phoenix, AZ 85041-7411 2020-07-01
1558988246 Cmj Recovery Az LLC Substance Abuse Rehabilitation Facility 4122 N 17th St Bldg A, Phoenix, AZ 85016-5922 2020-06-29
1720549009 Rtc Management Group, LLC Substance Abuse Rehabilitation Facility 1340 E Desert Cove Ave, Phoenix, AZ 85020-1110 2019-03-28
1497227771 Vogue Recovery Center Outpatient Substance Abuse Rehabilitation Facility 4122 N 17th St Bldg C, Phoenix, AZ 85016-5922 2018-12-26
1780155077 Pb Medical Group of Arizona, LLC Substance Abuse Rehabilitation Facility 3000 N 91st Ave, Phoenix, AZ 85037-4037 2018-12-11
1144790460 Ebony House Inc Substance Abuse Rehabilitation Facility 6222 S. 13th Street, Phoenix, AZ 85042 2018-11-29
1891283149 Bbc Whitton, LLC Substance Abuse Rehabilitation Facility 1106 E Whitton Ave, Phoenix, AZ 85014-5053 2018-04-23
1417456336 Vogue Recovery Center, LLC Substance Abuse Rehabilitation Facility 4122 N 17th St, Phoenix, AZ 85016-5922 2018-02-06
1255851994 Crossroads, Inc Substance Abuse Rehabilitation Facility 2002 E Osborn Rd, Phoenix, AZ 85016-7236 2017-06-23
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Competitor

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City PHOENIX
Zip Code 85042

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.