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ARIZONA BEHAVIORAL RESOURCES PLLC NPI 1811215213


NPI Information

NPI: 1811215213
Provider Name: ARIZONA BEHAVIORAL RESOURCES, PLLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
7000 N 16TH ST
SUITE 120
PHOENIX, AZ
ZIP 85020
Phone: (602) 910-5653
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ARIZONA BEHAVIORAL RESOURCES, PLLC is a mental health counselor in Phoenix, AZ. ARIZONA BEHAVIORAL RESOURCES, PLLC NPI is 1811215213. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7000 N 16TH ST
SUITE 120
PHOENIX, AZ
ZIP 85020-547
Phone: (602) 910-5653
Fax: (602) 374-4956

The provider's authorized official is Carl A. Washington .
The authorized official title is Proprietor and has the following contact phone number (602) 910-5653.

The enumeration date for this NPI number is 5/10/2010 and was last updated on 12/7/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthLCSW-12066ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1527879MEDICAIDARIZONA
21174724439MEDICARE PINARIZONA

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: 11/14/2023

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