Stable Foundations Therapy PLLC
Clinic/Center in Flagstaff, AZ. Organization (NPI-2).
NPI number1962013474
StatusActive
Last updated in NPPESAug 10, 2020
Details
- NPI
- 1962013474
- Entity type
- Organization (NPI-2)
- Legal business name
- Stable Foundations Therapy PLLC
- Organization subpart
- No
- Enumeration date
- Aug 10, 2020
- Certification date
- Aug 10, 2020
- Last updated
- Aug 10, 2020
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 |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
12115 N Peaks PkwyFlagstaff, AZ 86004-5589
Phone 623-606-0883
Mailing address
12115 N Peaks PkwyFlagstaff, AZ 86004-5589
Phone 623-606-0883
Authorized official
Lauren Hall
Owner
6236060883
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 6 Clinic/Center providers in Flagstaff · All 3,116 providers in Flagstaff
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