Provider Demographics
NPI:1679696009
Name:ECHOES OF HOPE
Entity type:Organization
Organization Name:ECHOES OF HOPE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JARETT
Authorized Official - Middle Name:W
Authorized Official - Last Name:LOGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-682-7222
Mailing Address - Street 1:7207 S 38TH DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85041-6103
Mailing Address - Country:US
Mailing Address - Phone:602-682-7222
Mailing Address - Fax:
Practice Address - Street 1:7207 S 38TH DR
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85041-6103
Practice Address - Country:US
Practice Address - Phone:602-682-7222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZBH-2729322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ147037OtherAHCCCS PROVIDER NUMBER