Healthcare Provider Details

I. General information

NPI: 1568280295
Provider Name (Legal Business Name): BETTER BALANCE BEHAVIORAL HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2024
Last Update Date: 10/01/2024
Certification Date: 10/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2228 W MICHELLE DR
PHOENIX AZ
85023-1224
US

IV. Provider business mailing address

2228 W MICHELLE DR
PHOENIX AZ
85023-1224
US

V. Phone/Fax

Practice location:
  • Phone: 602-698-7000
  • Fax: 602-898-1117
Mailing address:
  • Phone: 972-523-6090
  • Fax: 602-898-1117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: AMBER KEENAN
Title or Position: OWNER/PROVIDER
Credential: PMHNP-BC
Phone: 972-523-6090