PROJECT180-PHOENIX, LLC
NPI 1336642958
Clinic/Center - Adult Mental Health in Laveen, AZ

Active since March 09, 2018
6736 W CARSON RD, LAVEEN, AZ 85339(602) 888-6779 Get Directions Write a Review

NPPES record last updated: December 9, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 9, 2019, Jun 16, 2018, Mar 9, 2018 (3 updates tracked since 2018).

About Project180-phoenix, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROJECT180-PHOENIX, LLC (NPI 1336642958) is a healthcare organization registered as an adult mental health in Laveen, Arizona and active in the NPI registry since March 2018. The organization lists Rosalyn Young, Administrator, as its authorized official.

NPPES Registry Identity

NPI1336642958
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NamePROJECT180-PHOENIX, LLC
Location Address6736 W CARSON RDLaveen, AZ 85339-7024
Mailing Address1507 E 53rd St Unit 247Chicago, IL 60615-4573 · (312) 617-7857
Organization SubpartNo
Authorized OfficialRosalyn YoungAdministrator · (311) 261-7785
Enumeration DateMarch 9, 2018
Last NPPES UpdateDecember 9, 20193 updates tracked since enumeration
NPI 1336642958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
License Licensed in AZ · BH5362
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

6736 W CARSON RD, Laveen, AZ 85339

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Substance Abuse Rehabilitation Facility
6736 W CARSON RD
LAVEEN, AZ 85339
Rehabilitation, Substance Use Disorder Unit
6736 W CARSON RD
LAVEEN, AZ 85339
Assisted Living Facility
6736 W CARSON RD
LAVEEN, AZ 85339

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Project180-Phoenix, LLC's NPI number?

The NPI number for Project180-Phoenix, LLC is 1336642958. It was assigned to this organization in the NPPES registry on March 9, 2018.

Where is Project180-Phoenix, LLC located?

Project180-Phoenix, LLC is located at 6736 W Carson Rd, Laveen, AZ 85339. The listed phone number is (602) 888-6779.

What is Project180-Phoenix, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Project180-Phoenix, LLC was last updated on December 9, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.