Heal Valley Clinic LLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

HEAL VALLEY CLINIC LLC

Practice address

1737 E Baseline Rd
105
Gilbert, AZ 85233

Phone

(857) 264-7049

NPI assigned

Jun 28, 2023

Organization subpart

No

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

Authorized official

Name

Landry Kwizera, RN

Title

Administrator

Phone

(857) 264-7049

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1740967249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 E BASELINE RD",
            "address_2": "105",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85233",
            "telephone_number": "857-264-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1737 E BASELINE RD",
            "address_2": "105",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85233",
            "telephone_number": "857-264-7049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAL VALLEY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "KWIZERA",
        "authorized_official_first_name": "LANDRY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "857-264-7049",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dallin Hazelgren
• Eric Shawn Hazelrigg, M.D.
• Alexander Hazen, M.A., BCBA/LBA
• Junyan He
• Jesse Folk Head, DMD
• Breanne Healey, PSY.D.
• Healing Touch Medical Services PLLC
• Health and Wellness Psychiatry
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• Health Centers of Arizona, PLLC

• Counseling Psychologist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Counseling Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.