MEDICARE: ARIZONA MENTAL HEALTH, PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	103TC0700X	Clinical Psychologist
2	103TC1900X	Counseling Psychologist
3	2084P0800X	Psychiatry Physician
4	261QM0855X	Adolescent and Children Mental Health Clinic/Center
5	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
6	104100000X	Social Worker
7	1041C0700X	Clinical Social Worker
8	106H00000X	Marriage & Family Therapist
9	101YA0400X	Addiction (Substance Use Disorder) Counselor
10	103TA0400X	Addiction (Substance Use Disorder) Psychologist
11	101YM0800X	Mental Health Counselor
12	101YP2500X	Professional Counselor
13	103G00000X	Clinical Neuropsychologist
14	103T00000X	Psychologist
15	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1326917592
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARIZONA MENTAL HEALTH, PLLC

Provider Business Mailing Address
First Line	:	335 COTTONWOOD LN
Second Line	:
City	:	WICKENBURG
State	:	AZ
Zip	:	85390-3393
Country	:	US
Telephone Number	:	928-671-0696
Fax Number	:

Provider Business Practice Location Address
First Line	:	8715 W UNION HILLS DR STE 113
Second Line	:
City	:	PEORIA
State	:	AZ
Zip	:	85382-3031
Country	:	US
Telephone Number	:	928-671-0696
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DARRELL ALLAN BENHAM
Credential	:	RN
Telephone Number	:	928-671-0696

Provider Enumeration Date	:	11/04/2025
Last Update Date	:	11/04/2025

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