Healthcare Provider Details

I. General information

NPI: 1326917592
Provider Name (Legal Business Name): ARIZONA MENTAL HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2025
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 E APACHE ST STE F
WICKENBURG AZ
85390-2442
US

IV. Provider business mailing address

1 E APACHE ST STE F
WICKENBURG AZ
85390-2442
US

V. Phone/Fax

Practice location:
  • Phone: 928-362-0134
  • Fax: 517-362-0134
Mailing address:
  • Phone: 928-362-0134
  • Fax: 517-362-0134

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DARRELL ALLAN BENHAM
Title or Position: OWNER
Credential: RN
Phone: 928-671-0696