Provider Demographics
NPI:1043904626
Name:VALLEY SOCIAL SERVICES LLC
Entity Type:Organization
Organization Name:VALLEY SOCIAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER (OWNER)
Authorized Official - Prefix:
Authorized Official - First Name:MOJOK
Authorized Official - Middle Name:
Authorized Official - Last Name:AJAWIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-358-7850
Mailing Address - Street 1:6035 W KRISTAL WAY
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-7802
Mailing Address - Country:US
Mailing Address - Phone:480-358-7850
Mailing Address - Fax:
Practice Address - Street 1:12428 N 28TH DR
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85029-2433
Practice Address - Country:US
Practice Address - Phone:480-358-7850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-06
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Multi-Specialty
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health