Provider Demographics
NPI:1043982747
Name:HEALING HARTZE, PLLC
Entity type:Organization
Organization Name:HEALING HARTZE, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANUARY
Authorized Official - Middle Name:
Authorized Official - Last Name:HARTZE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-989-8899
Mailing Address - Street 1:17505 N 79TH AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-8724
Mailing Address - Country:US
Mailing Address - Phone:602-989-8899
Mailing Address - Fax:602-900-0969
Practice Address - Street 1:17505 N 79TH AVE STE 105
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-8724
Practice Address - Country:US
Practice Address - Phone:602-989-8899
Practice Address - Fax:602-900-0969
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-30
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1164242202OtherMATTHEW GORZELANY
AZ1477319762OtherJAYDEN DODEN NPI
AZCSLG13337OtherARIZONA DEPARTMENT OF HEALTH SERVICES
AZ1184486821OtherCAMERON TOEPFER NPI
AZ1740851542OtherJANUARY HARTZE INDIVIDUAL NPI
AZ1750141859OtherCAROLINE MELLON
AZ1851153928OtherBRENT DOWNEY NPI
AZ1881473544OtherREBECCA TESLOW NPI
AZ1154183226OtherLYNNETTE CRAMER NPI
AZ125011Medicaid
AZ1831848787OtherCELESTE STRONG NPI TYPE 1
AZ1396443156OtherSUZIE LOCKWOOD NPI
AZ1740016690OtherANNALIT CROSBY
AZ1740048552OtherMADELINE LYON NPI
AZ1215799382OtherCLAUDIA HOWARD NPI
AZ1639931702OtherBRANDY STITH NPI
AZ1750141859OtherEMILY REISSEN
AZ1043982747OtherHEALING HARTZE PLLC TYPE 2 NPI
AZ1447081534OtherBREANN LOPRESTO
AZ1457118572OtherSARAH BROWN NPI
AZCSLG13230OtherARIZONA DEPARTMENT OF HEALTH SERVICES
AZ1992549190OtherCURTIS WILMER NPI
AZ1104665959OtherAMANDA SCOTT