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Active NPI 1164875969 Organization (Entity Type 2)

Easter Seals Blake Foundation

Clinic/Center • Apache Junction, AZ

About Easter Seals Blake Foundation NPI 1164875969 Summary

Easter Seals Blake Foundation is a verified healthcare organization specializing in Clinic/Center operating in Apache Junction, AZ. Located at 288 N IRONWOOD DR STE 115, this facility provides patient care and medical services under National Provider Identifier (NPI) 1164875969.

Administrative operations and authorized compliance are overseen by Alexis Arenas (Early Childhood Therapist).

The facility is associated with 17 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

288 N Ironwood Dr Ste 115

Apache Junction, AZ 851203830

Telephone 4804169851

Authorized Official Information

Authorized Contact Name

Alexis Arenas , MAS-IFP, BHT

Title / Role

Early Childhood Therapist

Official Telephone

4804169851

Facility Classifications & Specialties

Clinic/Center Primary Taxonomy

NUCC Taxonomy Code: 261Q00000X

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

17 Linked

Ian Chapman NPI 1073077632

Behavior Technician

Tucson, AZ

View Practitioner Profile →

Steven Mlodzinski , CNP NPI 1124773478

Nurse Practitioner - Psychiatric/Mental Health

Tucson, AZ

View Practitioner Profile →

Ahmad Taylor , PA NPI 1174880009

Physician Assistant

Tucson, AZ

View Practitioner Profile →

Sonya Escalante , LCSW NPI 1184239931

Social Worker - Clinical

Casa Grande, AZ

View Practitioner Profile →

Kristen Coffey , LPC NPI 1265048029

Counselor - Professional

Tucson, AZ

View Practitioner Profile →

Dr. Steven Herron , MD NPI 1295700953

Psychiatry & Neurology - Forensic Psychiatry

Tucson, AZ

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active July 15, 2016

NPI status registered as active in NPPES database

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Updated Practice Location July 15, 2016

Registered at 288 N IRONWOOD DR STE 115, APACHE JUNCTION, AZ 851203830 (Tel: 4804169851)

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Updated Business Mailing Address July 15, 2016

Registered at 288 N IRONWOOD DR STE 115, APACHE JUNCTION, AZ 851203830 (Tel: 4804169851)

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Organization / Clinic Name Updated July 15, 2016

Operating as EASTER SEALS BLAKE FOUNDATION

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2016

Clinic/Center

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Initial NPI Registration & Enumeration July 15, 2016

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1164875969

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: July 15, 2016

Last Update: July 15, 2016

Update or Correct Listing

Mailing Address

288 N Ironwood Dr Ste 115

Apache Junction, AZ 851203830

Phone: 4804169851

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.