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NPI Code Detail

MEDICARE: SOUTHWEST BEHAVIORAL HEALTH SERVICES

MEDICARE: SOUTHWEST 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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)BH-2427AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1BH-2427OTHERAZSITE LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598772568
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTHWEST BEHAVIORAL HEALTH SERVICES
Provider Business Mailing Address
First Line : 3450 N 3RD ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85012-2331
Country : US
Telephone Number : 602-257-9339
Fax Number : 602-265-8574
Provider Business Practice Location Address
First Line : 4420 S 32ND ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85040-2804
Country : US
Telephone Number : 602-267-8748
Fax Number : 602-253-1557
Authorized Official
Title or Position : PRESIDENT / CEO
Name : STEVEN SHEETS
Credential :
Telephone Number : 602-351-6986
Provider Enumeration Date : 08/02/2006
Last Update Date : 11/09/2023

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Practice Location Address:
4420 S 32ND ST
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85040-2804
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1205178613 — LAURA DAWN HATFIELD APRN, PMHNP-BC
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1326419698 — EILEEN RIPSIN LPC
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4420 S 32ND ST
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1326407032 — SARA LISTAR-GUEST LMFT
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1326528795 — BREONA SMITH LPC
Practice Location Address:
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Directions to “SOUTHWEST BEHAVIORAL HEALTH SERVICES ” Practice Location

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