Healing Service Agency LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

LCSW-17245 Issued in AZ

Legal business name

HEALING SERVICE AGENCY LLC

Doing business as

Hsa

Practice address

17505 N 79TH Ave Ste 203
Glendale, AZ 85308-8726

Phone

(623) 850-5400

Fax

(623) 321-7850

NPI assigned

Jul 8, 2018

Last updated

Jul 31, 2020By 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

Mr. Brent Paul Marshall, LCSW

Title

Sole Owner

Phone

(623) 850-5400

Specialties & licenses 1

Addresses

Other names 1

• HSA Doing business as

Locations

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.

• Kathryn Lynn Rabe, MSW, LCSW

  • Clinical Social Worker
  • Phoenix, AZ
  • NPI 1154761872
  NPD (past)

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

{
    "created_epoch": "1531008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596153600000",
    "number": "1831685320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17505 N 79TH AVE STE 203",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088726",
            "telephone_number": "623-850-5400",
            "fax_number": "623-321-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17505 N 79TH AVE STE 203",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088726",
            "telephone_number": "623-850-5400",
            "fax_number": "623-321-7850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19609 S McQueen Rd",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852861903",
            "country_code": "US",
            "telephone_number": "623-850-5400",
            "fax_number": "623-321-7850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALING SERVICE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-08",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "623-850-5400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "AZ",
            "license": "LCSW-17245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HSA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heal Medical Transportation
• Healing Hartze, PLLC (Healing Hartze)
• Healing Horizons Medical Group PLLC
• Healing Horizons Psychiatry
• Healing Horses Equine Assisted Activities and Therapy
• Healing Through Connection
• Health Alert Screening and Diagnostic Imaging(Hasdi) Inc
• Health Partners Plus LLC
• Healthfinity, PLLC
• Healthsource of Central Glendale, P.C.

• Multi-Specialty Clinic/Center in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Multi-Specialty Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; 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.