A NEW LEAF NPI 1013349570

NPI Information

NPI: 1013349570
Provider Name: A NEW LEAF
Classification: Clinic/Center - 261QM0801X
Specialization: Mental Health (Including Community Mental Health Center)
Entity Type: Organization
CLIA Number: 03D2058313
Address: 8581 N 61ST AVE BLDG A
GLENDALE, AZ
ZIP 85302
Phone: (623) 934-1991

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NPI Details

A NEW LEAF is a mental health (including community mental health center) clinic center in Glendale, AZ. A NEW LEAF NPI is 1013349570. The provider is registered as an organization entity type.

The provider's business location address is:

8581 N 61ST AVE BLDG A
GLENDALE, AZ
ZIP 85302-493
Phone: (623) 934-1991
Fax: (623) 878-9335

The provider's authorized official is Gracia Danis .
The authorized official title is Credentialing Specialist and has the following contact phone number (520) 591-5394.

The CLIA number assigned to this NPI record is 03D2058313 - other - behavioral health with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/6/2013 and was last updated on 7/31/2024.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes
2	261QP2300X	Clinic/Center	Primary Care	OTC6465	ARIZONA	No

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	OTC6465	OTHER	ARIZONA	STATE LICENSE
2	433108	MEDICAID	ARIZONA

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: 11/21/2025

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