PREMIUM BEHAVIOR CLINIC NPI 1942073101

NPI Information

NPI: 1942073101
Provider Name: PREMIUM BEHAVIOR CLINIC
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
5251 W CAMPBELL AVE STE 203
PHOENIX, AZ
ZIP 85031
Phone: (602) 486-4328
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PREMIUM BEHAVIOR CLINIC is an addiction (substance use disorder) counselor in Phoenix, AZ. PREMIUM BEHAVIOR CLINIC NPI is 1942073101. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5251 W CAMPBELL AVE STE 203
PHOENIX, AZ
ZIP 85031-719
Phone: (602) 486-4328

The provider's authorized official is Brandi Caudell .
The authorized official title is Administrator and has the following contact phone number (602) 486-4328.

The enumeration date for this NPI number is 10/31/2023 and was last updated on 10/31/2023.

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)			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

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