MEDICARE: BEYOND BLUE HEALTH SERVICES LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	251B00000X	Case Management Agency
3	251C00000X	Developmentally Disabled Services Day Training Agency
4	251S00000X	Community/Behavioral Health Agency
5	252Y00000X	Early Intervention Provider Agency
6	261QD1600X	Developmental Disabilities Clinic/Center
7	261QM0850X	Adult Mental Health Clinic/Center
8	261QM0855X	Adolescent and Children Mental Health Clinic/Center
9	261QR0401X	Comprehensive Outpatient Rehabilitation Facility (CORF)

General Provider Information

NPI Number	:	1205415957
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEYOND BLUE HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	7550 N 19TH AVE STE 104
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85021-7982
Country	:	US
Telephone Number	:	602-946-4120
Fax Number	:

Provider Business Practice Location Address
First Line	:	7550 N 19TH AVE STE 104
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85021-7982
Country	:	US
Telephone Number	:	602-946-4120
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KEONA SCOTT
Credential	:
Telephone Number	:	702-689-8658

Provider Enumeration Date	:	04/07/2021
Last Update Date	:	05/04/2022

Similar Medicare Providers

1437084084 — UNITED INTEGRATED HEALTH LLC
Practice Location Address:

7550 N 19TH AVE STE 104
PHOENIX, AZ
85021-7982

Practice Phone: 480-803-6593
Practice Fax:

1558019018 — GIOVANNI SCOTT
Practice Location Address:

7550 N 19TH AVE STE 104
PHOENIX, AZ
85021-7982

Practice Phone: 602-946-4120
Practice Fax:

1194650044 — PAIGE CORNELL
Practice Location Address:

2255 W NORTHERN AVE
PHOENIX, AZ
85021-4936

Practice Phone: 602-995-1767
Practice Fax:

1508210006 — MISTY ANDERSEN-PITCHER LPC
Practice Location Address:

7219 N 23RD LN
PHOENIX, AZ
85021-7651

Practice Phone: 480-269-5666
Practice Fax:

1952000390 — CORNERSTONE CAREGIVING WEST LLC
Practice Location Address:

2224 W NORTHERN AVE STE D207
PHOENIX, AZ
85021-4928

Practice Phone: 623-500-6737
Practice Fax:

1336837616 — IDEAL TREATMENT CENTER LLC
Practice Location Address:

1717 W NORTHERN AVE STE 107
PHOENIX, AZ
85021-5400

Practice Phone: 602-612-2305
Practice Fax:

Directions to “BEYOND BLUE HEALTH SERVICES LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.