1124603394 DIRECTLY AFFECTED
Adolescent and Children Mental Health Clinic/Center
Active
Basic Information
- Organization Name
- DIRECTLY AFFECTED
- Enumeration Date
- March 10, 2021
- Last Update
- March 10, 2021
- Authorized Official
- DOMINIQUE MYRICK
PRESIDENT
Phone: (614) 980-2116
Practice Location
- Address
- 2522 S TERRIPIN
MESA, AZ 852094959 - Phone
- (614) 980-2116
Mailing Address
- Address
- 2522 S TERRIPIN
MESA, AZ 852094959 - Phone
- (614) 980-2116
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor Addiction (Substance Use Disorder) | 101YA0400X | Counselor | N/A | N/A | No |
| Case Management Agency | 251B00000X | Case Management | N/A | N/A | No |
| Community/Behavioral Health Agency | 251S00000X | Community/Behavioral Health | N/A | N/A | No |
| Foster Care Agency | 253J00000X | Foster Care Agency | N/A | N/A | No |
| Adolescent and Children Mental Health Clinic/Center Adolescent and Children Mental Health | 261QM0855X | Clinic/Center | N/A | N/A | Primary |
Digital Endpoints
OTHERS Use: HIE
APIs
Frequently Asked Questions
What is DIRECTLY AFFECTED's NPI number?
DIRECTLY AFFECTED's NPI number is 1124603394.
Which doctor has NPI number 1124603394?
The doctor with NPI number 1124603394 is DIRECTLY AFFECTED.
What is DIRECTLY AFFECTED's practice address?
DIRECTLY AFFECTED's practice address is 2522 S TERRIPIN, MESA, AZ, 852094959.
Which doctor practices at 2522 S TERRIPIN, MESA, AZ, 852094959?
DIRECTLY AFFECTED practices at 2522 S TERRIPIN, MESA, AZ, 852094959.
What is DIRECTLY AFFECTED's phone number?
DIRECTLY AFFECTED's phone number is (614) 980-2116.
Who is (614) 980-2116?
(614) 980-2116 is the phone number for DIRECTLY AFFECTED.
What is DIRECTLY AFFECTED's specialty?
DIRECTLY AFFECTED's specialty is Adolescent and Children Mental Health Clinic/Center.
What type of doctor is DIRECTLY AFFECTED?
DIRECTLY AFFECTED is a Adolescent and Children Mental Health Clinic/Center.
Is DIRECTLY AFFECTED a Adolescent and Children Mental Health?
Yes, DIRECTLY AFFECTED is a Adolescent and Children Mental Health.
Is DIRECTLY AFFECTED still practicing?
Yes, DIRECTLY AFFECTED is currently practicing.
Is DIRECTLY AFFECTED accepting new patients?
DIRECTLY AFFECTED may be accepting new patients. Please call their office at (614) 980-2116 to inquire about availability.
Is NPI 1124603394 still active?
Yes, NPI 1124603394 is currently active.
Where does DIRECTLY AFFECTED practice?
DIRECTLY AFFECTED practices in MESA, AZ.