Provider Demographics
NPI:1114704400
Name:DESERT ESSENTIAL SERVICES
Entity Type:Organization
Organization Name:DESERT ESSENTIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANYA
Authorized Official - Middle Name:
Authorized Official - Last Name:KNEBLE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:602-739-8655
Mailing Address - Street 1:2929 N POWER RD STE 101
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85215-1746
Mailing Address - Country:US
Mailing Address - Phone:480-744-5240
Mailing Address - Fax:
Practice Address - Street 1:2929 N POWER RD STE 101
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85215-1746
Practice Address - Country:US
Practice Address - Phone:480-744-5240
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health