MEDICARE: NEW SEASONS BEHAVIORAL HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1053044008
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW SEASONS BEHAVIORAL HEALTH LLC

Provider Business Mailing Address
First Line	:	6607 E HAWK DR
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85730-3249
Country	:	US
Telephone Number	:	520-369-1862
Fax Number	:

Provider Business Practice Location Address
First Line	:	4400 E BROADWAY BLVD STE 306
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85711-3553
Country	:	US
Telephone Number	:	520-369-1862
Fax Number	:

Authorized Official
Title or Position	:	OWNER NP
Name	:	CATHERINE ETORI
Credential	:
Telephone Number	:	520-369-1862

Provider Enumeration Date	:	07/07/2022
Last Update Date	:	01/23/2026

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