NPI Registry.org

Going The Extra Mile Llc

NPI Registration Record

Provider / OrganizationNPIDate Certified
GOING THE EXTRA MILE LLC15387315002021-07-12

The organization Going The Extra Mile Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1538731500. Registration indicates Going The Extra Mile Llc is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, ) (Agencies, Case Management) (Case Management, ) (Case Management, Agencies) (Ambulatory Health Care Facilities, Clinic/Center) (Clinic/Center: Mental Health (Including Community Mental Health Center),, ) (Community Mental Health Center, ) (Clinic/Center Mental Health (Including Community Mental Health Center),, Ambulatory Health Care Facilities) (Clinic/Center, )

Entity TypeOrganization
Provider OrganizationGOING THE EXTRA MILE LLC
Practice Office Address1102 W MCDOWELL RD
PHOENIX, AZ US
Practice Office Telephone6026122436
Mailing Address1102 W MCDOWELL RD
PHOENIX, AZ 850071700 US
Business Telephone6026122436
Authorized OfficialRALPH LOPEZ, BHT/CO-OWNER
4807996693
HPT Codes
CodePractice
License No
State
106S00000X PRIMARY
Behavioral Health & Social Service Providers
Behavior Technician
Behavior Technician
Behavioral Health & Social Service Providers
Behavior Technician
251B00000X
Agencies
Case Management
Case Management

Case Management
Agencies
261QM0801X
Ambulatory Health Care Facilities
Clinic/Center
Clinic/Center: Mental Health (Including Community Mental Health Center),

Community Mental Health Center

Clinic/Center Mental Health (Including Community Mental Health Center),
Ambulatory Health Care Facilities
Clinic/Center
193200000X MULTGroup Code
OPI Codes
Governmental Registrations [CAGE/NCAGE/DUNS]

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