Active NPI
Prayer Changes Things Community Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mesa, AZ
National Provider Identifier
1922886597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- PRAYER CHANGES THINGS COMMUNITY HEALTH
- Practice address
- 2766 S Yucca
Mesa, AZ 85202-7460 - Phone
- (602) 410-3672
- NPI assigned
- Sep 15, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elease Daugherty
- Title
- Contractor
- Phone
- (630) 399-1885
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X |
Addresses
Primary practice location
2766 S Yucca
Mesa, AZ 85202-7460
Mailing address
2766 S Yucca
Mesa, AZ 85202-7460
Phone (602) 410-3672
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694822400000",
"number": "1922886597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2766 S YUCCA",
"city": "MESA",
"state": "AZ",
"postal_code": "852027460",
"telephone_number": "602-410-3672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2766 S YUCCA",
"city": "MESA",
"state": "AZ",
"postal_code": "852027460",
"telephone_number": "602-410-3672"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRAYER CHANGES THINGS COMMUNITY HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-15",
"last_updated": "2023-09-16",
"certification_date": "2023-09-16",
"status": "A",
"authorized_official_last_name": "DAUGHERTY",
"authorized_official_first_name": "ELEASE",
"authorized_official_title_or_position": "CONTRACTOR",
"authorized_official_telephone_number": "630-399-1885"
},
"taxonomies": [
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
- Jesus Prado, DNP, PMHNP-BC
- Deepa Prasad, MD
- Kirstyn Prater, DNP
- Isaac Edmundson Pratt, DDS,MSD
- Eileen S Pratte, OTR/L
- Shay Preble
- Precision Anesthesia LLC
- Precision Integrative Specialists & Oncology LLC (Preferred Integrative Specialists & Oncology LLC)
- Precision Neuro Monitoring LLC
- Precision Spine and Sports Rehabilitation, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.