Organization · NPI-2

Go Dehp LLC

Psychologist, Exercise & Sports · Phoenix, AZ

NPI number1477328623
StatusActive
Last updated in NPPESJun 18, 2024

Details

NPI
1477328623
Entity type
Organization (NPI-2)
Legal business name
Go Dehp LLC
Organization subpart
Yes
Enumeration date
Nov 17, 2023
Certification date
Jun 18, 2024
Last updated
Jun 18, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TE1100X Psychologist, Exercise & Sports––Yes
171400000X Health & Wellness Coach––
202D00000X Integrative Medicine––
2251S0007X Physical Therapist, Sports––

Other names

  • 17th Floor.Vip (Doing Business As)

Practice location

3800 N Central Ave Fl 17
Phoenix, AZ 85012-1992

Phone 480-225-0555

Mailing address

3800 N Central Ave Fl 17
Phoenix, AZ 85012-1992

Phone 480-225-0555

Authorized official

Josette Sullins
Ceo
4802250555

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