Provider Demographics
NPI:1104796143
Name:REALIZE OUR WORTH LLC
Entity type:Organization
Organization Name:REALIZE OUR WORTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIR
Authorized Official - Prefix:
Authorized Official - First Name:JAMEEL
Authorized Official - Middle Name:H
Authorized Official - Last Name:UNDERWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-803-8932
Mailing Address - Street 1:6713 W PALMAIRE AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85303-2633
Mailing Address - Country:US
Mailing Address - Phone:480-803-8932
Mailing Address - Fax:
Practice Address - Street 1:6713 W PALMAIRE AVE APT 4
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85303-2633
Practice Address - Country:US
Practice Address - Phone:480-803-8932
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-06
Last Update Date:2025-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty