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NPI 1013833730

NPI 1013833730 : CHANGEPOINT CRISIS UNIT : LAKESIDE, AZ

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General NPI Number Information
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    NPI Number           |    1013833730
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    Entity Type          |    Organization 
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    Legal Business Name  |    CHANGEPOINT CRISIS UNIT 
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Dates
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    Enumeration Date     |    06/26/2026
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    Last Update Date     |    06/26/2026
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Provider Practice Location Address
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    Address Line         |    1920 WEST COMMERCE DRIVE 
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    City                 |    LAKESIDE
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    State                |    AZ
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    Zip                  |    82929
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    Country              |    US
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    Telephone            |    928-537-5315
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    Fax                  |    928-892-5828
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Provider Business Mailing Address
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    Address Line         |    1801 W DEUCE OF CLUBS STE 100 
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    City                 |    SHOW LOW
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    State                |    AZ
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    Zip                  |    85901-2704
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    Country              |    US
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    Telephone            |    928-537-5315
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    Fax                  |    928-892-5828
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Authorized Official
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    Title or Position    |    QUALITY MANAGER
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    Name                 |     MELISSA  HOYT 
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    Credential           |    
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    Telephone            |    928-537-5315
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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