Emmanuel Behavioral Health LLC
Counselor, Mental Health in Phoenix, AZ. Organization (NPI-2).
NPI number1184545238
StatusActive
Last updated in NPPESJul 23, 2026
Details
- NPI
- 1184545238
- Entity type
- Organization (NPI-2)
- Legal business name
- Emmanuel Behavioral Health LLC
- Organization subpart
- No
- Enumeration date
- Jul 23, 2026
- Certification date
- Jul 23, 2026
- Last updated
- Jul 23, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – |
Practice location
1717 W Northern Ave Ste 202fPhoenix, AZ 85021-5471
Phone 408-791-4817
Mailing address
1717 W Northern Ave Ste 202Phoenix, AZ 85021-5471
Phone 408-791-4817
Authorized official
Samuel Fingi
Owner
6026323945
Is something wrong?
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