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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ID SUBSTRATE, PLLC

Active Organization

ID SUBSTRATE, PLLC is a Mental Health Counselor organization located in PHOENIX, Arizona. NPI 1588387005 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · PHOENIX, AZ

Registration Details

NPI Number
1588387005
Provider Type
Organization
NPI Issued
Sep 20, 2022 (3.9091577471608 yrs)
Last Updated
Sep 20, 2022

Practice Information

Address
4500 N. 32ND STREET
100-A
PHOENIX, AZ, 850183033
Browse AZ providers · Browse ZIP 85018
Phone
6022008690
Fax
6022648107
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Forensic Psychologist
Additional Specialty
Geriatric Psychologist
Additional Specialty
Mental Health Counselor
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.