Healthcare Provider Details

I. General information

NPI: 1265357495
Provider Name (Legal Business Name): BEHAVIORAL HEALTH SOLUTIONS OF ARIZONA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 N PRIEST DR # 109
TEMPE AZ
85288-1213
US

IV. Provider business mailing address

2200 PASEO VERDE PKWY STE 190
HENDERSON NV
89052-2703
US

V. Phone/Fax

Practice location:
  • Phone: 702-589-4871
  • Fax: 702-589-4872
Mailing address:
  • Phone: 702-589-4871
  • Fax: 702-589-4871

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: KRISTA HUEY
Title or Position: DIRECTOR-CREDENTIALING/ CONTRACTING
Credential:
Phone: 702-589-4871