Provider Demographics
NPI:1790374833
Name:TERI'S HEALTH SERVICES
Entity Type:Organization
Organization Name:TERI'S HEALTH SERVICES
Other - Org Name:TERI'S HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:TERI
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HOURIHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-503-0710
Mailing Address - Street 1:6635 W HAPPY VALLEY RD STE A104-621
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85310-2609
Mailing Address - Country:US
Mailing Address - Phone:602-503-0710
Mailing Address - Fax:602-429-8602
Practice Address - Street 1:14040 N CAVE CREEK RD STE 205
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85022-6179
Practice Address - Country:US
Practice Address - Phone:602-358-7073
Practice Address - Fax:888-927-0409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-13
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZOTC10631-4DW911OtherDEPARTMENT OF HEALTH SERVICES
AZOTC10632OtherDEPARTMENT OF HEALTH SERVICES
AZ087398Medicaid