Healthcare Provider Details

I. General information

NPI: 1073420378
Provider Name (Legal Business Name): AZ MHC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

560 W BROWN ROAD SUITE 3001/ PMB 17544975
MESA AZ
85201
US

IV. Provider business mailing address

560 W BROWN RD STE 3001
MESA AZ
85201-3225
US

V. Phone/Fax

Practice location:
  • Phone: 480-418-3919
  • Fax:
Mailing address:
  • Phone: 480-418-3919
  • Fax: 480-923-6598

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID ARTHUR STUEBE
Title or Position: OWNER / OPERATOR
Credential:
Phone: 623-341-3753