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SOUTH PHOENIX INTEGRITY HOUSE LLC
NPI 1619675626
Community/Behavioral Health in Phoenix, AZ

Active since February 20, 2023
1612 E SOUTHERN AVE, PHOENIX, AZ 85040(520) 907-1437 Get Directions Write a Review

NPPES record last updated: February 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Phoenix Integrity House Llc NPPES

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

SOUTH PHOENIX INTEGRITY HOUSE LLC (NPI 1619675626) is a healthcare organization registered as a community/behavioral health in Phoenix, Arizona and active in the NPI registry since February 2023. The organization lists Mara L Carlos, Owner, as its authorized official.

NPPES Registry Identity

NPI1619675626
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSOUTH PHOENIX INTEGRITY HOUSE LLC
Location Address1612 E SOUTHERN AVEPhoenix, AZ 85040-3534
Mailing Address1612 E Southern AvePhoenix, AZ 85040-3534 · (520) 907-1437
Phone(520) 907-1437
Organization SubpartNo
Authorized OfficialMara L CarlosOwner · (520) 907-1437
Enumeration DateFebruary 20, 2023
NPPES CertifiedFebruary 19, 2023
✔ NPI 1619675626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1612 E SOUTHERN AVE, Phoenix, AZ 85040
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Other Providers at the Same Location NPPES

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

MARA LENA CARLOS
Counselor (Addiction (Substance Use Disorder))
1612 E SOUTHERN AVE
PHOENIX, AZ 85040
Maricopa County (520) 907-1437

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 South Phoenix Integrity House LLC's NPI number?

The NPI number for South Phoenix Integrity House LLC is 1619675626. It was assigned to this organization in the NPPES registry on February 20, 2023.

Where is South Phoenix Integrity House LLC located?

South Phoenix Integrity House LLC is located at 1612 E Southern Ave, Phoenix, AZ 85040. The listed phone number is (520) 907-1437.

What is South Phoenix Integrity House LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for South Phoenix Integrity House LLC was last updated on February 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.