SPRINGFORTH HOLISTIC HEALTH LLC
NPI 1821859703
Clinic/Center - Mental Health (Including Community Mental Health Center) in Phoenix, AZ

Active since January 18, 2024CLIA 03D2341475 · Waiver
2224 W NORTHERN AVE STE D208, PHOENIX, AZ 85021(623) 428-1225 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Springforth Holistic Health Llc NPPES

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

SPRINGFORTH HOLISTIC HEALTH LLC (NPI 1821859703) is a healthcare organization registered as a mental health (including community mental health center) in Phoenix, Arizona and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through April 1, 2028 and lists Erin Stark, Sr Rcm Sme, as its authorized official.

NPPES Registry Identity

NPI1821859703
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameSPRINGFORTH HOLISTIC HEALTH LLC
Location Address2224 W NORTHERN AVE STE D208Phoenix, AZ 85021-4928
Mailing Address42304 W Ramirez DrMaricopa, AZ 85138-1819 · (602) 387-0189
Organization SubpartNo
Authorized OfficialErin StarkSr Rcm Sme · (317) 225-0489
Enumeration DateJanuary 18, 2024
Last NPPES UpdateJune 11, 2026
NPPES CertifiedJune 11, 2026
NPI 1821859703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
2224 W NORTHERN AVE STE D208, Phoenix, AZ 85021

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2341475

Springforth Holistic Health LLC · Phoenix, AZ
Active · expires Apr 1, 2028
CLIA Number03D2341475
Laboratory TypeBh/Sud Otc
Certificate Effective DateApril 2, 2026
Certificate Expiration DateApril 1, 2028
Laboratory DirectorPhyllis Odonnell
Laboratory Phone(623) 428-1225
Laboratory LocationSpringforth Holistic Health LLC2224 W Northern Ave Ste D208, Phoenix, AZ 85021
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Springforth Holistic Health LLC's NPI number?

The NPI number for Springforth Holistic Health LLC is 1821859703. It was assigned to this organization in the NPPES registry on January 18, 2024.

Where is Springforth Holistic Health LLC located?

Springforth Holistic Health LLC is located at 2224 W Northern Ave Ste D208, Phoenix, AZ 85021. The listed phone number is (623) 428-1225.

What is Springforth Holistic Health LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Does Springforth Holistic Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2341475) is associated with this NPI, valid through April 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Springforth Holistic Health LLC was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.