Provider Demographics
NPI:1801143540
Name:HELPING OURSELVES PURSUE ENRICHMENT, INC
Entity type:Organization
Organization Name:HELPING OURSELVES PURSUE ENRICHMENT, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:BECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-770-1197
Mailing Address - Street 1:877 S ALVERNON WAY STE 200
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-5341
Mailing Address - Country:US
Mailing Address - Phone:520-770-1197
Mailing Address - Fax:520-300-8012
Practice Address - Street 1:1200 N COUNTRY CLUB RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-3625
Practice Address - Country:US
Practice Address - Phone:520-770-1197
Practice Address - Fax:520-770-1199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-13
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ756638Medicaid
AZZ167119Medicare PIN