Provider Demographics
NPI:1578965059
Name:AZ HEALTH PATH, INC
Entity Type:Organization
Organization Name:AZ HEALTH PATH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:RHODES
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:480-735-9090
Mailing Address - Street 1:8111 E THOMAS RD STE 120
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-5876
Mailing Address - Country:US
Mailing Address - Phone:480-735-9090
Mailing Address - Fax:480-584-4885
Practice Address - Street 1:8111 E THOMAS RD STE 120
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-5876
Practice Address - Country:US
Practice Address - Phone:480-735-9090
Practice Address - Fax:480-584-4885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-16
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC10276101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ750001Medicaid
AZ135692471OtherINDIVIDUAL NPI FOR DR. RACHEL RHODES
AZ7108598OtherMEDICARE UPIN
AZ467766Medicaid
AZ1033670302OtherINDIVIDUAL NPI FOR ERIK EIDENSCHINK
AZ1851484836OtherINDIVIDUAL NPI FOR MADISON RHODES