MEDICARE: IN YOUR CORNER BEHAVIORAL HEALTH AND WELLNESS, PLLC

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1184588782
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IN YOUR CORNER BEHAVIORAL HEALTH AND WELLNESS, PLLC

Provider Business Mailing Address
First Line	:	3810 E GIDEON WAY
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85296-2872
Country	:	US
Telephone Number	:	480-251-4578
Fax Number	:

Provider Business Practice Location Address
First Line	:	3810 E GIDEON WAY
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85296-2872
Country	:	US
Telephone Number	:	480-251-4578
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ALICIA SHIELDS
Credential	:
Telephone Number	:	480-251-4578

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

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