Provider Demographics
NPI:1619676525
Name:ESSENTIAL CARE AND COUNSELING CENTER
Entity Type:Organization
Organization Name:ESSENTIAL CARE AND COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PHYU
Authorized Official - Middle Name:PHYU
Authorized Official - Last Name:WIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-306-1919
Mailing Address - Street 1:4029 N 31ST AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85017-4619
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7802 N 43RD AVE STE 5
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85301-8111
Practice Address - Country:US
Practice Address - Phone:623-215-1212
Practice Address - Fax:480-386-1119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-28
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty