Organization · Type 2 NPI

Third Eye Integration, LLC

Community/Behavioral Health Agency · Phoenix, AZ

NPI number 1629533906 Active

Practice location

18631 N 19th Ave Ste 158305
Phoenix, AZ 85027-0408

Call (623) 986-3987 Map

Other practice locations

20012 N 18th Dr, Phoenix, AZ 85027-4248 · (623) 986-3987

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: 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 suppo…

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NPI record

NPI: 1629533906
Entity type: Organization (Type 2)
Issued: Jan 31, 2019
Last updated: Sep 9, 2019
Status: Active

Other names

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Third Eye Integration · doing business as
Third Eye Integration · doing business as

Authorized official

Ms. Wendy Yvonne Shepherd, MA, CCTP
Owner
(623) 986-3987

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1629533906

Third Eye Integration, LLC's National Provider Identifier is 1629533906, issued on Jan 31, 2019. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 9, 2019.