Healthcare Provider Details

I. General information

NPI: 1679168249
Provider Name (Legal Business Name): BEHAVIORAL HEALTH PHYSICIANS GROUP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2021
Last Update Date: 01/08/2024
Certification Date: 01/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1336 PIERCE ST
LAKEWOOD CO
80214-1939
US

IV. Provider business mailing address

6613 N SCOTTSDALE RD STE 200
SCOTTSDALE AZ
85250-7804
US

V. Phone/Fax

Practice location:
  • Phone: 720-961-9720
  • Fax:
Mailing address:
  • Phone: 480-707-1968
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number
License Number State

VIII. Authorized Official

Name: SPENCER M LITMAN
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 480-707-1968