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Facing the Future With Hope

NPI 1124372099ActiveOrganization· Contractor· Phoenix, AZ

Contractor in Phoenix, Arizona, registered in NPPES in October 2012. The authorized official on file is Kimara Blackman, PH D, Ceo/Director.

Overview

NPI1124372099
StatusActive
Entity typeOrganization
NPI issuedOct 31, 2012
Last updated in NPPESOct 31, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Contractor Primary171W00000X——
Counselor, Pastoral101YP1600X——
Counselor, Professional101YP2500X——
Poetry Therapist102X00000X——
Behavior Analyst103K00000X——
Acupuncturist171100000X——
Case Manager/Care Coordinator171M00000X——
Community Health Worker172V00000X——
Psychiatry & Neurology, Addiction Psychiatry2084P0802X——
Clinic/Center261Q00000X——
Clinic/Center, Community Health261QC1500X——
Clinic/Center, Research261QR1100X——
Community Based Residential Treatment Facility, Mental Illness320800000X——
Psychiatric Residential Treatment Facility323P00000X——
Substance Abuse Rehabilitation Facility324500000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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