Provider Demographics
NPI:1003609025
Name:SOCIAL HOUSE THERAPY LLC
Entity type:Organization
Organization Name:SOCIAL HOUSE THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATION
Authorized Official - Prefix:MR
Authorized Official - First Name:JAYCEE
Authorized Official - Middle Name:KALEIALII
Authorized Official - Last Name:JEFFERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-363-3333
Mailing Address - Street 1:1132 W MANHATTON DR
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-4619
Mailing Address - Country:US
Mailing Address - Phone:661-363-3333
Mailing Address - Fax:
Practice Address - Street 1:1132 W MANHATTON DR
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-4619
Practice Address - Country:US
Practice Address - Phone:661-363-3333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech