MERCIFUL BEHAVIORAL HEALTH SERVICES LLC NPI 1477910883

NPI Information

  • NPI: 1477910883
  • Provider Name: MERCIFUL BEHAVIORAL HEALTH SERVICES LLC
  • Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
  • Entity Type: Organization
  • Address: 12383 W GLENROSA AVE
    AVONDALE, AZ
    ZIP 85392
  • Phone: (602) 516-4992

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NPI Details

MERCIFUL BEHAVIORAL HEALTH SERVICES LLC is a community based residential treatment facility mental illness in Avondale, AZ. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. MERCIFUL BEHAVIORAL HEALTH SERVICES LLC NPI is 1477910883. The provider is registered as an organization entity type.

The provider's business location address is:

12383 W GLENROSA AVE
AVONDALE, AZ
ZIP 85392-287
Phone: (602) 516-4992

The provider's authorized official is Okunlola O Betiku .
The authorized official title is Program Director and has the following contact phone number (602) 516-4992.

The enumeration date for this NPI number is 1/15/2016 and was last updated on 1/15/2016.

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
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessBH4775ARIZONAYes

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
1BH4775OTHERARIZONABEHAVIORAL HEALTH

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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