Organization Active NPI

Blackhorse Therapy and Wellness LLC

  • Mental Health Counselor
  • Avondale, AZ
National Provider Identifier
1306594031
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Floriann Blackhorse, LCSWNPI 1386040608
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)CodeLicenseStatePrimary
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 Other name

National Provider Directory

National Provider Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.