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NAZARENE RESTORATION HOUSE
NPI 1760193742
Counselor in Phoenix, AZ

Active since December 09, 2022
2450 W GLENROSA AVE UNIT 24, PHOENIX, AZ 85015(602) 612-4837 Get Directions Write a Review

NPPES record last updated: December 9, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nazarene Restoration House NPPES

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

NAZARENE RESTORATION HOUSE (NPI 1760193742) is a healthcare organization registered as a counselor in Phoenix, Arizona and active in the NPI registry since December 2022. The organization lists Tracey Davis, Administrator, as its authorized official.

NPPES Registry Identity

NPI1760193742
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NameNAZARENE RESTORATION HOUSE
Location Address2450 W GLENROSA AVE UNIT 24Phoenix, AZ 85015-4989
Mailing Address2450 W Glenrosa Ave Unit 24Phoenix, AZ 85015-4989 · (602) 612-4837
Phone(602) 612-4837
Organization SubpartNo
Authorized OfficialTracey DavisAdministrator · (602) 612-4837
Enumeration DateDecember 9, 2022
NPPES CertifiedDecember 9, 2022
✔ NPI 1760193742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

2450 W GLENROSA AVE UNIT 24, Phoenix, AZ 85015
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

GREATER NEW LIFE WORSHIP CENTER
Counselor (Mental Health)
2450 W GLENROSA AVE UNIT 24
PHOENIX, AZ 85015
Maricopa County (803) 293-5149
FOLLOW ONE COURSE UNTIL SUCCESS
Community/Behavioral Health
2450 W GLENROSA AVE UNIT 24
PHOENIX, AZ 85015
Maricopa County (585) 317-4586

Frequently Asked Questions

What is NAZARENE RESTORATION HOUSE's NPI number?

The NPI number assigned to this healthcare provider is 1760193742, enumerated as an "organization" on December 09, 2022.

Where is the provider located?

The provider is located at 2450 W GLENROSA AVE UNIT 24 PHOENIX, AZ 85015 and the phone number is (602) 612-4837.

What is the provider's specialty?

Counselor with taxonomy code 101Y00000X.