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NPI Code Detail

MEDICARE: RISING LOTUS BEHAVIORAL HEALTH SERVICES LLC

MEDICARE: RISING LOTUS BEHAVIORAL HEALTH SERVICES LLC
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
1251300000XLocal Education Agency (LEA)
2251B00000XCase Management Agency
3251S00000XCommunity/Behavioral Health Agency
4261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
5261QM0850XAdult Mental Health Clinic/Center
6261QM0855XAdolescent and Children Mental Health Clinic/Center
7261QM2500XMedical Specialty Clinic/Center
8347E00000XTransportation Broker
9261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number : 1992630453
Entity Type Code : Organization
Provider Name (Legal Business Name) : RISING LOTUS BEHAVIORAL HEALTH SERVICES LLC
Provider Business Mailing Address
First Line : 19840 N CAVE CREEK RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85024-1226
Country : US
Telephone Number : 770-853-9533
Fax Number :
Provider Business Practice Location Address
First Line : 19840 N CAVE CREEK RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85024-1226
Country : US
Telephone Number : 770-853-9533
Fax Number :
Authorized Official
Title or Position : CEO/PRESIDENT
Name : MR. DEVENCHIE BATTLE
Credential :
Telephone Number : 770-853-9533
Provider Enumeration Date : 06/16/2026
Last Update Date : 06/16/2026

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