MEDICARE: TRIPLE PPP INTEGRATIVE BEHAVIORAL HEALTH SERVICES

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1598373037
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRIPLE PPP INTEGRATIVE BEHAVIORAL HEALTH SERVICES

Provider Business Mailing Address
First Line	:	5201 W SUNLAND AVE
Second Line	:
City	:	LAVEEN
State	:	AZ
Zip	:	85339-2431
Country	:	US
Telephone Number	:	480-226-2044
Fax Number	:

Provider Business Practice Location Address
First Line	:	2538 E UNIVERSITY DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85034-6917
Country	:	US
Telephone Number	:	480-226-2044
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	TAMAR MULL
Credential	:
Telephone Number	:	480-226-2044

Provider Enumeration Date	:	07/21/2020
Last Update Date	:	07/21/2020

Similar Medicare Providers

1669916268 — SOUTHWEST KIDNEY INSTITUTE, PLC
Practice Location Address:

2538 E UNIVERSITY DR , STE 110
PHOENIX, AZ
85034-6917

Practice Phone: 480-969-8714
Practice Fax:

1467214304 — HOPE4HEALTH CLINIC LLC
Practice Location Address:

2538 E UNIVERSITY DR STE 270
PHOENIX, AZ
85034-6917

Practice Phone: 817-495-7228
Practice Fax:

1821298894 — OASIS CARE LIVING, LLC
Practice Location Address:

6917 S 11TH DR
PHOENIX, AZ
85041-6743

Practice Phone: 602-334-1303
Practice Fax: 602-535-5109

1942957527 — YASHIRA MCCRAY
Practice Location Address:

6917 S 11TH DR
PHOENIX, AZ
85041-6743

Practice Phone: 602-600-8748
Practice Fax:

1265324370 — CHARITY STOLTZ PT, DPT
Practice Location Address:

5017 E WASHINGTON ST STE 107A
PHOENIX, AZ
85034-2033

Practice Phone: 602-277-1073
Practice Fax:

1104856004 — SOUTHWEST NETWORK
Practice Location Address:

2444 E UNIVERSITY DR STE 150
PHOENIX, AZ
85034-6934

Practice Phone: 602-304-0014
Practice Fax: 602-304-0190

Directions to “TRIPLE PPP INTEGRATIVE BEHAVIORAL HEALTH SERVICES ” 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 © 2007-2025 (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.