Provider Demographics
NPI:1356217095
Name:DEHP LLC
Entity type:Organization
Organization Name:DEHP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL BILLER
Authorized Official - Prefix:
Authorized Official - First Name:MEREDITH
Authorized Official - Middle Name:A
Authorized Official - Last Name:MATICS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-292-2666
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:602-566-7627
Practice Address - Street 1:3336 N 32ND ST STE 111
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-6241
Practice Address - Country:US
Practice Address - Phone:623-931-1052
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DEHP LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-10-10
Last Update Date:2025-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center