KINGDOM BEHAVIOR CARE NPI 1336839521

NPI Information

NPI: 1336839521
Provider Name: KINGDOM BEHAVIOR CARE
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
3048 E BASELINE RD STE 101
MESA, AZ
ZIP 85204
Phone: (469) 455-4874
Get Directions

KINGDOM BEHAVIOR CARE is a mental health counselor in Mesa, AZ. KINGDOM BEHAVIOR CARE NPI is 1336839521. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3048 E BASELINE RD STE 101
MESA, AZ
ZIP 85204-287
Phone: (469) 455-4874

The provider's authorized official is Ronald Nkusi .
The authorized official title is Owner and has the following contact phone number (469) 455-4874.

The enumeration date for this NPI number is 5/10/2023 and was last updated on 5/10/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
2	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »