Mort Mori

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MORT MORI

Doing business as

Phoenix Horizon Wellness Center

Practice address

6344 E Broadway Rd Ste 107
Mesa, AZ 85206-1634

Phone

(602) 888-0910

NPI assigned

Nov 27, 2023

Organization subpart

No

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

Authorized official

Name

Monique A. Mort, LPCNPI 1033484381

Title

Cfo

Phone

(520) 360-7292

Specialties & licenses 4

Addresses

Other names 2

• Phoenix Horizon Wellness Center Doing business as
• Mort Mori, Inc Other name

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.

• Monique A Mort, LPC

  • Professional Counselor
  • Mesa, AZ
  • NPI 1033484381
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1407622921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6344 E BROADWAY RD STE 107",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6344 E BROADWAY RD STE 107",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061634",
            "telephone_number": "602-888-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORT MORI",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "MORT",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "520-360-7292",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenix Horizon Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mort Mori, Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nancy Suzanne Morris, RD
• Neil Morris, NMD
• Pamela L Morris, N.P.
• Anita W Morse
• Mona Morstein, N.D.
• Monique A Mort, LPC
• Katia Mortazavinia, D.M.D.
• David Glen Mortenson, D.M.D., M.S.D.
• Mark Mosbacher, DVM
• Thomas A Moser, O.D.

• Adult Mental Health Clinic/Center in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Adult Mental Health Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.