HERITAGE RECOVERY TREATMENT CENTER, LLC
NPI 1972482560
Clinic/Center - Mental Health (Including Community Mental Health Center) in Phoenix, AZ

Active since August 28, 2025
1717 W NORTHERN AVE STE 200B, PHOENIX, AZ 85021(747) 463-9226 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Heritage Recovery Treatment Center, Llc NPPES

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

HERITAGE RECOVERY TREATMENT CENTER, LLC (NPI 1972482560) is a healthcare organization registered as a mental health (including community mental health center) in Phoenix, Arizona and active in the NPI registry since August 2025. The organization lists Norrice Tindimubona, Owner, as its authorized official.

NPPES Registry Identity

NPI1972482560
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameHERITAGE RECOVERY TREATMENT CENTER, LLC
Location Address1717 W NORTHERN AVE STE 200BPhoenix, AZ 85021-5469
Mailing Address1717 W Northern Ave Ste 200bPhoenix, AZ 85021-5469 · (747) 463-9226
Organization SubpartNo
Authorized OfficialNorrice TindimubonaOwner · (747) 463-9226
Enumeration DateAugust 28, 2025
NPPES CertifiedAugust 28, 2025
NPI 1972482560 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
1717 W NORTHERN AVE STE 200B, Phoenix, AZ 85021

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.

Nurse Practitioner (Primary Care)
1717 W NORTHERN AVE STE 200B
PHOENIX, AZ 85021
Nurse Practitioner (Family)
1717 W NORTHERN AVE STE 200B
PHOENIX, AZ 85021

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 Heritage Recovery Treatment Center, LLC's NPI number?

The NPI number for Heritage Recovery Treatment Center, LLC is 1972482560. It was assigned to this organization in the NPPES registry on August 28, 2025.

Where is Heritage Recovery Treatment Center, LLC located?

Heritage Recovery Treatment Center, LLC is located at 1717 W Northern Ave Ste 200B, Phoenix, AZ 85021. The listed phone number is (747) 463-9226.

What is Heritage Recovery Treatment Center, 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.

When was this NPI record last updated?

The NPPES record for Heritage Recovery Treatment Center, LLC was last updated on August 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.