Healthcare Provider Details

I. General information

NPI: 1184588782
Provider Name (Legal Business Name): IN YOUR CORNER BEHAVIORAL HEALTH AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 07/26/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3707 E SOUTHERN AVE STE 1086
MESA AZ
85206-6208
US

IV. Provider business mailing address

3707 E SOUTHERN AVE STE 1086
MESA AZ
85206-6208
US

V. Phone/Fax

Practice location:
  • Phone: 480-251-4578
  • Fax:
Mailing address:
  • Phone: 480-251-4578
  • Fax:

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: ALICIA SHIELDS
Title or Position: OWNER
Credential:
Phone: 480-251-4578