Provider Demographics
NPI:1023834587
Name:J. ENGELS, LLC
Entity type:Organization
Organization Name:J. ENGELS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:A
Authorized Official - Last Name:ENGELS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:602-615-5797
Mailing Address - Street 1:1608 E EARLL DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-7618
Mailing Address - Country:US
Mailing Address - Phone:602-615-5797
Mailing Address - Fax:
Practice Address - Street 1:1608 E EARLL DR
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-7618
Practice Address - Country:US
Practice Address - Phone:602-615-5797
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-02
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)