MEDICARE: SOUTHWEST BEHAVIORAL HEALTH SERVICES, INC.

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)
2	174400000X	Specialist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346752623
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTHWEST BEHAVIORAL HEALTH SERVICES, INC.

Provider Business Mailing Address
First Line	:	3450 N 3RD ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85012-2331
Country	:	US
Telephone Number	:	602-257-9339
Fax Number	:	602-265-8533

Provider Business Practice Location Address
First Line	:	1255 W BASELINE RD STE 104
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85202-5821
Country	:	US
Telephone Number	:	480-820-5422
Fax Number	:

Authorized Official
Title or Position	:	CEO/PRESIDENT
Name	:	STEVEN SHEETS
Credential	:
Telephone Number	:	602-257-9339

Provider Enumeration Date	:	10/26/2017
Last Update Date	:	05/18/2026

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