Provider Demographics
NPI:1225742505
Name:EAST HARMONY POINT
Entity Type:Organization
Organization Name:EAST HARMONY POINT
Other - Org Name:EAST HARMONY POINT
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:SOLE MBR
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-843-9233
Mailing Address - Street 1:4535 S LAKESHORE DR STE 1A
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-7046
Mailing Address - Country:US
Mailing Address - Phone:602-889-1519
Mailing Address - Fax:602-702-5671
Practice Address - Street 1:4535 S LAKESHORE DR STE 1A
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-7046
Practice Address - Country:US
Practice Address - Phone:602-889-1519
Practice Address - Fax:602-702-5671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-11
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health