Provider Demographics
NPI:1508904871
Name:ENHANCEMENT COUNSELING CONNECTION, INC
Entity Type:Organization
Organization Name:ENHANCEMENT COUNSELING CONNECTION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:G
Authorized Official - Last Name:CARISTA
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:602-841-0860
Mailing Address - Street 1:6130 N 18TH DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85015-2054
Mailing Address - Country:US
Mailing Address - Phone:602-841-0860
Mailing Address - Fax:602-841-0902
Practice Address - Street 1:6130 N 18TH DR
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85015-2054
Practice Address - Country:US
Practice Address - Phone:602-841-0860
Practice Address - Fax:602-841-0902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty