Provider Demographics
NPI:1871265983
Name:ASPIRE COUNSELING SERVICES AZ, LLC
Entity type:Organization
Organization Name:ASPIRE COUNSELING SERVICES AZ, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER / CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROGELIO
Authorized Official - Middle Name:
Authorized Official - Last Name:MONZON
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:602-509-2301
Mailing Address - Street 1:4225 E WINDROSE DR STE 300
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-7585
Mailing Address - Country:US
Mailing Address - Phone:602-509-2301
Mailing Address - Fax:
Practice Address - Street 1:4225 E WINDROSE DR STE 300
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-7585
Practice Address - Country:US
Practice Address - Phone:602-509-2301
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-28
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health