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General NPI Number Information
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NPI Number | 1619482478
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Entity Type | Organization
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Legal Business Name | ALEVEA MENTAL HEALTH LLC
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Dates
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Enumeration Date | 12/02/2017
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 2034 E SOUTHERN AVE
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City | TEMPE
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State | AZ
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Zip | 85282-7522
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Country | US
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Telephone | 480-923-6200
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Fax | 602-419-3101
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Provider Business Mailing Address
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Address Line | 2034 E SOUTHERN AVE STE D
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City | TEMPE
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State | AZ
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Zip | 85282-7511
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Country | US
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Telephone | 480-923-6200
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Fax | 602-419-3101
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Authorized Official
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Title or Position | CEO, PROVIDER
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Name | CHRISTOPHER MICHAEL BRADSHAW
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Credential | PAC
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Telephone | 602-733-0584
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 202D00000X
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Taxonomy Name | Integrative Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 261QS1000X
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Taxonomy Name | Student Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #12
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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