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General NPI Number Information
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NPI Number | 1295659092
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Entity Type | Organization
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Legal Business Name | RISE AND REACH BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 08/05/2026
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Last Update Date | 08/05/2026
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Provider Practice Location Address
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Address Line | 20496 E VIA DE ARBOLES
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-5338
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Country | US
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Telephone | 480-399-4511
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Fax |
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Provider Business Mailing Address
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Address Line | 3101 N CENTRAL AVE STE 183
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City | PHOENIX
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State | AZ
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Zip | 85012-3616
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Country | US
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Telephone | 480-399-4511
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JORDAN FICKERT
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Credential |
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Telephone | 480-399-4511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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