Healthcare Provider Details

I. General information

NPI: 1326852385
Provider Name (Legal Business Name): ALLIANCE BEHAVIORAL HEALTH INTEGRATED PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2025
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12801 W BELL RD STE 141-145
SURPRISE AZ
85378-9797
US

IV. Provider business mailing address

12801 W BELL RD STE 141-145
SURPRISE AZ
85378-9797
US

V. Phone/Fax

Practice location:
  • Phone: 623-401-2882
  • Fax: 623-401-2889
Mailing address:
  • Phone: 602-721-9960
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: HORTENSE NOBLE
Title or Position: MEMBER
Credential: ARNP-PMHNP,BC
Phone: 623-401-2882