SUPPORTIVE COMMUNITY SERVICES LLC (NPI# 1770123614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770123614 |
| Entity Type | Organization |
| Organization Name | SUPPORTIVE COMMUNITY SERVICES LLC |
| Practice Address |
2432 W Peoria Ave Phoenix AZ 85029-4726 |
| Mailing Address |
3454 Whitman Falls Dr Las Vegas NV 89129-6355 |
| Practice Telephone | 7025264573 |
| Practice Fax Number | 7022021180 |
| Mailing Telephone | 7025264573 |
| Mailing Fax Number | 7022021180 |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2020-01-08 |
| Authorized Official Name | MISS NIESHA S. ALLEN (DIRECTOR) |
| Authorized Official Telephone | 7025264573 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1720451672 | 05 |
| Other Name | Type Code |
|---|---|
| Supportive Community Services LLC | Doing Business As Name - Organization |
| Street Address |
2432 W PEORIA AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85029-4726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063497725 | Rosemarie Ludwig | Counselor | 2432 W Peoria Ave, Ste 1002, Phoenix, AZ 85029-4727 | 2005-12-14 |
| 1295198497 | The River Source Outpatient Peoria | Clinic/Center | 2432 W Peoria Ave, Suite 1227, Phoenix, AZ 85029-4726 | 2016-04-04 |
| 1265789416 | Phoenix Toxicology and Lab Services, LLC | Clinical Medical Laboratory | 2432 W Peoria Ave, Suite 1064, Phoenix, AZ 85029-4726 | 2012-08-07 |
| 1255623260 | Marvah D'aquino | Specialist/Technologist | 2432 W Peoria Ave, Suite 1044, Phoenix, AZ 85029-4726 | 2011-05-10 |
| 1801185152 | Marissa Elena Hernandez | Specialist/Technologist | 2432 W Peoria Ave, Phoenix, AZ 85029-4726 | 2011-04-06 |
| 1518265404 | Suzette Bernales | Specialist/Technologist | 2432 W Peoria Ave, Suite 1044, Phoenix, AZ 85029-4726 | 2011-03-02 |
| 1720211402 | Anna Kay Lee | Specialist/Technologist | 2432 W Peoria Ave, Phoenix, AZ 85029-4726 | 2009-08-28 |
| 1568604445 | Muinat Adepeju Udoinwang | Home Health | 2432 W Peoria Ave, Building 5 Suite 1120, Phoenix, AZ 85029-4726 | 2009-03-24 |
| 1073758835 | Quality Transport Services of Az | Non-emergency Medical Transport (VAN) | 2432 W Peoria Ave, #1340, Phoenix, AZ 85029 | 2008-12-09 |
| 1649438821 | Michael L Rinker | Counselor | 2432 W Peoria Ave, 1187, Phoenix, AZ 85029-4726 | 2008-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153799 | Haydee Bermudez | Counselor | 3301 North 33rd Ave., Phoenix, AZ 85029 | 2020-10-27 |
| 1871191221 | Covenant Home Health LLC | In Home Supportive Care | 11830 N. 19th Ave, Suite 101 Pendleton, Phoenix, AZ 85029 | 2020-10-16 |
| 1508406745 | Tailored 2 U Psychiatry, Pllc | Nurse Practitioner | 4150 W Peoria Avenue, Suite 116, Phoenix, AZ 85029 | 2020-01-15 |
| 1770125403 | Desert Gem Assisted Living Facility, LLC | Custodial Care Facility | 3236 W. Eugie Avenue, Phoenix, AZ 85029 | 2019-10-15 |
| 1588128623 | Anna Debbs | Counselor | 11221 North 28th Drive, Bldg E, Phoenix, AZ 85029 | 2019-01-23 |
| 1609360007 | Melissa Lynn Denton | Specialist/Technologist | 4014 W Paradise Dr, Phoenix, AZ 85029 | 2018-06-19 |
| 1275038713 | Jamilah Amirah | Behavioral Analyst | 11024 N 28th Dr Ste 110, Phoenix, AZ 85029 | 2018-03-27 |
| 1639687056 | Empower Home Care, LLC. | Home Health | 11225 N 28th Drive, Suite D115e, Phoenix, AZ 85029 | 2018-01-19 |
| 1467975698 | Samantha June Collett | Nurse Practitioner | 3201 W Peoria Ave Ste 804, Phoenix, AZ 85029 | 2017-07-19 |
| 1073966347 | Meka Joi Green | Social Worker | 11225 M 28th Dr, Suite C210, Phoenix, AZ 85029 | 2016-07-21 |
| Find all providers in zip 85029 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922615 | Gift of Hearts Home LLC | Counselor | 4547 N 92nd Ave, Phoenix, AZ 85037-2450 | 2020-11-02 |
| 1952901332 | Jennifer Barreras | Counselor | 1818 E Burgess Ln, Phoenix, AZ 85042-4518 | 2020-10-27 |
| 1477153799 | Haydee Bermudez | Counselor | 3301 North 33rd Ave., Phoenix, AZ 85029 | 2020-10-27 |
| 1174135487 | Kelli Randon | Counselor | 14040 N Cave Creek Rd Ste 207, Phoenix, AZ 85022-6179 | 2020-08-18 |
| 1891307328 | Empire Health and Therapy LLC | Counselor | 1730 W Lacewood Pl, Phoenix, AZ 85045-0528 | 2020-08-17 |
| 1043821747 | Annette M Callahan | Counselor | 3229 E Briarwood Ter, Phoenix, AZ 85048-7843 | 2020-08-14 |
| 1528679032 | Apex Rising Community Services LLC | Counselor | 4150 W Peoria Ave Ste 220, Phoenix, AZ 85029-3956 | 2020-08-10 |
| 1780293654 | Mitsrain's House of Hope LLC | Counselor | 5744 N 41st Ave, Phoenix, AZ 85019-1814 | 2020-07-27 |
| 1740898378 | Samantha Cheyenne-dahl Moss | Counselor | 3519 E Shea Blvd Ste 138, Phoenix, AZ 85028-3349 | 2020-07-20 |
| 1083231856 | Amber Taylor | Counselor | 21640 N 19th Ave, Phoenix, AZ 85027-2720 | 2020-06-28 |
| Find all providers in PHOENIX | ||||
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| 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.