Geomancie Promise LLC With Hellinger Systemic Constellations

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

GEOMANCIE PROMISE LLC WITH HELLINGER SYSTEMIC CONSTELLATIONS

Practice address

7096 E San Cristobal Way
Gold Canyon, AZ 85118-1838

Phone

(458) 205-8943

Fax

(458) 210-2788

NPI assigned

Dec 23, 2019

Organization subpart

No

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

Authorized official

Name

Bonnie Marie McIrvin, LCSWNPI 1487938957

Title

Owner

Phone

(541) 731-4256

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR, AZ2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bonnie M. McIrvin, LCSW

  • Clinical Social Worker
  • Gold Canyon, AZ
  • NPI 1487938957

  OR

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1962041889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3741 S BRIGHTON LN",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977976",
            "telephone_number": "458-205-8943",
            "fax_number": "458-210-2788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7096 E SAN CRISTOBAL WAY",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "851181838",
            "telephone_number": "458-205-8943",
            "fax_number": "458-210-2788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3741 S Brighton Ln",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852977976",
            "country_code": "US",
            "telephone_number": "458-205-8943",
            "fax_number": "458-210-2788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GEOMANCIE PROMISE LLC WITH HELLINGER SYSTEMIC CONSTELLATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-23",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "MCIRVIN",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-731-4256",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• E. James Bodmer, D.P.M., PC
• Empowered Medicine
• Jennifer Marie Estefano, PMHNP-BC
• Daniel Finney, P.A.-C
• Foothills Sports Medicine & Rehabilitation - Gold Canyon, LLC
• Gold Canyon Contemporary Dentistry
• Gold Canyon Counseling
• Gold Canyon Dentistry
• Gold Canyon Eye Center, PLLC
• Gold Canyon Family Practice

• Clinical Social Worker in Gold Canyon, AZ
• Providers in Gold Canyon, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.