Healing Hub Integrated Clinic LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

HEALING HUB INTEGRATED CLINIC LLC

Practice address

3420 E Shea Blvd Ste 200
Phoenix, AZ 85028-3348

Phone

(602) 675-6466

NPI assigned

Feb 20, 2023

Last updated

Jun 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Aline Shadyne Mahoro, MANAGING DIRECTOR

Title

Ceo

Phone

(602) 524-4066

Specialties & licenses 2

Addresses

Practitioners 2

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.

• Smith Angoh Angoh

  • Addiction (Substance Use Disorder) Counselor
  • Phoenix, AZ
  • NPI 1477251767
  NPD
• Claude Kubwimana

  • Addiction (Substance Use Disorder) Counselor
  • Phoenix, AZ
  • NPI 1124726013
  NPD

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1750089637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 E SHEA BLVD STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283348",
            "telephone_number": "602-675-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 E SHEA BLVD STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283348",
            "telephone_number": "602-675-6466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4410 N 99th Ave Apt 2152",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850375948",
            "country_code": "US",
            "telephone_number": "602-675-6466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALING HUB INTEGRATED CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "MAHORO",
        "authorized_official_first_name": "ALINE",
        "authorized_official_middle_name": "SHADYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-524-4066",
        "authorized_official_credential": "MANAGING DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healing Hands Supportive Care LLC
• Healing Hartze, PLLC (Healing Hartze)
• Healing Havens, PLLC
• Healing Hope Counseling Services, LLC
• Healing House Calls, PLLC
• Healing Humans
• Healing Integrated Health Center, Inc
• Healing Journeys, LLC
• Healing Moments PLLC
• Healing Water Connections

• Mental Health Clinic/Center (Including Community Mental Health Center) in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.