| Casa Del Fenix PLLC | |
|
48739 N 5th Ave New River AZ 85087-8581 | |
| (602) 456-5607 | |
| Not Available |
| Full Name | Casa Del Fenix PLLC |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 48739 N 5th Ave, New River, Arizona |
| Authorized Official Name and Position | Leo O Merino (OWNER) |
| Authorized Official Contact | 6024565607 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Casa Del Fenix PLLC 4539 N 22nd St Ste N Phoenix AZ 85016-4639 Ph: (602) 456-5607 | Casa Del Fenix PLLC 48739 N 5th Ave New River AZ 85087-8581 Ph: (602) 456-5607 |
| NPI Number | 1083524433 |
|---|---|
| Provider Enumeration Date | 09/09/2026 |
| Last Update Date | 09/09/2026 |
| Certification Date | 09/09/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083524433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | () | Primary |