Healthcare Provider Details

I. General information

NPI: 1013833730
Provider Name (Legal Business Name): CHANGEPOINT CRISIS UNIT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1920 WEST COMMERCE DRIVE
LAKESIDE AZ
82929
US

IV. Provider business mailing address

1801 W DEUCE OF CLUBS STE 100
SHOW LOW AZ
85901-2704
US

V. Phone/Fax

Practice location:
  • Phone: 928-537-5315
  • Fax: 928-892-5828
Mailing address:
  • Phone: 928-537-5315
  • Fax: 928-892-5828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MELISSA HOYT
Title or Position: QUALITY MANAGER
Credential:
Phone: 928-537-5315