FSL PATHWAYS NPI 1659437317

NPI Information

NPI: 1659437317
Provider Name: FSL PATHWAYS

Other Name: AGL - PLATA

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
613 W PLATA AVE
MESA, AZ
ZIP 85210
Phone: (480) 813-0539
Get Directions

FSL PATHWAYS is a community based residential treatment facility mental illness in Mesa, AZ. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. FSL PATHWAYS NPI is 1659437317. The provider is registered as an organization entity type.
The provider Other Name Is Agl - Plata.

The provider's business location address is:

613 W PLATA AVE
MESA, AZ
ZIP 85210-330
Phone: (480) 813-0539

The provider's authorized official is Annette Iniguez .
The authorized official title is Exec Asst and has the following contact phone number (602) 285-0505.

The enumeration date for this NPI number is 12/28/2006 and was last updated on 8/22/2020.

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	320800000X	Community Based Residential Treatment Facility, Mental Illness		BH1186	ARIZONA	Yes

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	BH1186	OTHER	ARIZONA	ADHS BHS 1186
2	346412	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: 4/28/2024

NPI Synchronization or Removal

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