MEDICARE: NEW LEAF BEHAVIORAL HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320800000X	Mental Illness Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1073458980
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW LEAF BEHAVIORAL HEALTH LLC

Provider Business Mailing Address
First Line	:	2407 E ALICIA DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85042-7029
Country	:	US
Telephone Number	:	602-512-5842
Fax Number	:

Provider Business Practice Location Address
First Line	:	2407 E ALICIA DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85042-7029
Country	:	US
Telephone Number	:	602-512-5842
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ADMINISTRATOR
Name	:	HAFSA ABDIRAHMAN
Credential	:
Telephone Number	:	602-512-5842

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	04/20/2026

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Directions to “NEW LEAF BEHAVIORAL HEALTH LLC ” Practice Location

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