MEDICARE: SOUTHWEST NETWORK, INC.

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1356187678
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTHWEST NETWORK, INC.

Provider Business Mailing Address
First Line	:	2700 N CENTRAL AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85004-1133
Country	:	US
Telephone Number	:	602-266-8402
Fax Number	:	602-264-0887

Provider Business Practice Location Address
First Line	:	2311 W ROYAL PALM RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85021-4924
Country	:	US
Telephone Number	:	602-269-5300
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	AMY BETH HENNING
Credential	:
Telephone Number	:	602-285-4340

Provider Enumeration Date	:	07/05/2024
Last Update Date	:	02/18/2025

Similar Medicare Providers

1053190819 — BRYAN DUBROCK LCSW-21781
Practice Location Address:

2311 W ROYAL PALM RD
PHOENIX, AZ
85021-4924

Practice Phone: 602-269-5300
Practice Fax:

1538225289 — FSL PATHWAYS
Practice Location Address:

9405 N 34TH PL
PHOENIX, AZ
85028-4924

Practice Phone: 602-923-8129
Practice Fax:

1275023194 — ALEXANDRA MARIE VAN LINGEN
Practice Location Address:

8433 N BLACK CANYON HWY
PHOENIX, AZ
85021-4873

Practice Phone: 720-556-6597
Practice Fax:

1508415043 — AZEL JACKSON LPC
Practice Location Address:

8804 N 23RD AVE BLDG A
PHOENIX, AZ
85021-4160

Practice Phone: 602-685-6000
Practice Fax: 602-216-7040

1770120206 — PARADISE LEUTA BCBA
Practice Location Address:

2338 W ROYAL PALM RD STE J
PHOENIX, AZ
85021-9339

Practice Phone: 855-772-8847
Practice Fax:

1669331484 — DERRICK SSENKUSU
Practice Location Address:

1717 W NORTHERN AVE STE 101
PHOENIX, AZ
85021-5400

Practice Phone: 818-810-8120
Practice Fax:

Directions to “SOUTHWEST NETWORK, INC. ” 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.