Healthcare Provider Details
I. General information
NPI: 1346752623
Provider Name (Legal Business Name): SOUTHWEST BEHAVIORAL HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/26/2017
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1255 W BASELINE RD STE 104
MESA AZ
85202-5821
US
IV. Provider business mailing address
3450 N 3RD ST
PHOENIX AZ
85012-2331
US
V. Phone/Fax
- Phone: 480-820-5422
- Fax:
- Phone: 602-257-9339
- Fax: 602-265-8533
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
STEVEN
SHEETS
Title or Position: CEO/PRESIDENT
Credential:
Phone: 602-257-9339