Active NPI
Blackhorse Therapy and Wellness LLC
- Mental Health Counselor
- Avondale, AZ
National Provider Identifier
1306594031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- BLACKHORSE THERAPY AND WELLNESS LLC
- Practice address
- 2425 S 121St Dr
Avondale, AZ 85323-7667 - Phone
- (602) 350-1648
- NPI assigned
- Mar 11, 2022
- Last updated
- Mar 11, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Floriann Blackhorse, LCSW
- Title
- Owner
- Phone
- (602) 350-1648
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2425 S 121St Dr
Avondale, AZ 85323-7667
Mailing address
PO Box 214
Avondale, AZ 85323-0080
Phone (602) 350-1648
Other names 1
- Blackhorse Therapy and Wellness LLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Avondale, AZ
- NPI 1386040608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646956800000",
"number": "1306594031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 214",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853230080",
"telephone_number": "602-350-1648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 S 121ST DR",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853237667",
"telephone_number": "602-350-1648"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLACKHORSE THERAPY AND WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-11",
"last_updated": "2022-03-11",
"certification_date": "2022-03-11",
"status": "A",
"authorized_official_last_name": "BLACKHORSE",
"authorized_official_first_name": "FLORIANN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "602-350-1648",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Blackhorse Therapy and Wellness LLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Avondale, AZ
- BHSM Rehabilitation, LLC (Banner Physical Therapy)
- Haley Anne Biehler, LMFT
- Bio-Medical Applications of Arizona, LLC (Fresenius Medical Care Avondale)
- Black Family and Child Services Inc
- Mackenzie Sheerin Black, O.D.
- Floriann Blackhorse, LCSW
- Zyara Blair
- Curtis Lloyd Blakley, CRT
- Hillary Ann Blank
- Melanie Lee Boltze
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.