Provider Demographics
NPI:1326809419
Name:AUTHENTIC HEALTH & HEALING SOLUTIONS LLC
Entity Type:Organization
Organization Name:AUTHENTIC HEALTH & HEALING SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADULT NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:CASEY
Authorized Official - Suffix:
Authorized Official - Credentials:ANP-BC
Authorized Official - Phone:216-269-2291
Mailing Address - Street 1:4980 S ALMA SCHOOL RD STE 2-404
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85248-5545
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4955 S ALMA SCHOOL RD STE 10
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85248-5639
Practice Address - Country:US
Practice Address - Phone:216-269-2291
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service