MEDICARE: FSL PATHWAYS

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	251S00000X	Community/Behavioral Health Agency	BHS3482	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	BHS3482	OTHER	AZ	ADHS - BEHAVIORAL

General Provider Information

NPI Number	:	1922338227
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FSL PATHWAYS

Provider Business Mailing Address
First Line	:	1201 E THOMAS RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85014-5734
Country	:	US
Telephone Number	:	602-285-0505
Fax Number	:	602-285-1838

Provider Business Practice Location Address
First Line	:	916 E WATSON DR
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85283-3031
Country	:	US
Telephone Number	:	602-285-0505
Fax Number	:	602-285-1838

Authorized Official
Title or Position	:	ADMINISTRATIVE SERVICES MANAGER
Name	:	INDRA DAYANA GARCIA CHAVEZ
Credential	:
Telephone Number	:	602-285-0505

Provider Enumeration Date	:	01/08/2010
Last Update Date	:	12/17/2025

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Directions to “FSL PATHWAYS ” Practice Location

Language	Start Address	Practice Location

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