Healthcare Provider Details

I. General information

NPI: 1265355176
Provider Name (Legal Business Name): OMEGA BEHAVIORAL HEALTH SERVICES.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2669 N 73RD DR
PHOENIX AZ
85035-3253
US

IV. Provider business mailing address

2669 N 73RD DR
PHOENIX AZ
85035-3253
US

V. Phone/Fax

Practice location:
  • Phone: 623-476-7657
  • Fax: 623-215-4503
Mailing address:
  • Phone: 623-476-7657
  • Fax: 623-215-4503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. PAULINA NWADAODU CHIGBU
Title or Position: CEO
Credential: RN
Phone: 602-769-3458