Gig Hunter LLC
Community/Behavioral Health in Phoenix, AZ. Organization (NPI-2).
NPI number1619787322
StatusActive
Last updated in NPPESJan 14, 2025
Details
- NPI
- 1619787322
- Entity type
- Organization (NPI-2)
- Legal business name
- Gig Hunter LLC
- Organization subpart
- No
- Enumeration date
- Jan 14, 2025
- Certification date
- Jan 13, 2025
- Last updated
- Jan 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 101Y00000X | Counselor | – | – | |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 101YP1600X | Counselor, Pastoral | – | – | |
| 101YP2500X | Counselor, Professional | – | – | |
| 101YS0200X | Counselor, School | – | – | |
| 106H00000X | Marriage & Family Therapist | – | – | |
| 251B00000X | Case Management | – | – | |
| 252Y00000X | Early Intervention Provider Agency | – | – | |
| 261QC1500X | Clinic/Center, Community Health | – | – | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | |
| 261QS1000X | Clinic/Center, Student Health | – | – | |
| 343900000X | Non-emergency Medical Transport (VAN) | – | – | |
| 347C00000X | Private Vehicle | – | – |
Other names
- Good Fruit Behavioral Health Services (Doing Business As)
Practice location
14817 N 47th PlPhoenix, AZ 85032-4856
Phone 602-518-6484
Mailing address
1721 W Stradling AveApache Junction, AZ 85120-1119
Phone 602-518-6484
Authorized official
Shequan L Palmer
Owner/Manager
6025186484
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