Provider Demographics
NPI:1356139315
Name:DEHP LLC
Entity type:Organization
Organization Name:DEHP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSETTE
Authorized Official - Middle Name:D
Authorized Official - Last Name:SULLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-566-7627
Mailing Address - Street 1:3800 N CENTRAL AVE STE 1010
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-1918
Mailing Address - Country:US
Mailing Address - Phone:602-566-7627
Mailing Address - Fax:844-610-6047
Practice Address - Street 1:1275 W STARR PASS BLVD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85713-1379
Practice Address - Country:US
Practice Address - Phone:602-566-7627
Practice Address - Fax:844-610-6047
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DEHP LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
No252Y00000XAgenciesEarly Intervention Provider Agency
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder