PROVIDENCE BEHAVIORAL HEALTH LLC NPI 1700527637

NPI Information

  • NPI: 1700527637
  • Provider Name: PROVIDENCE BEHAVIORAL HEALTH LLC
  • Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
  • Entity Type: Organization
  • Address: 8714 W PIONEER ST
    TOLLESON, AZ
    ZIP 85353
  • Phone: (602) 628-2266

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NPI Details

PROVIDENCE BEHAVIORAL HEALTH LLC is a community based residential treatment facility mental illness in Tolleson, AZ. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. PROVIDENCE BEHAVIORAL HEALTH LLC NPI is 1700527637. The provider is registered as an organization entity type.

The provider's business location address is:

8714 W PIONEER ST
TOLLESON, AZ
ZIP 85353-618
Phone: (602) 628-2266

The provider's authorized official is Funmilola Elizabeth-tosin Ogunla .
The authorized official title is Director and has the following contact phone number (602) 628-2266.

The enumeration date for this NPI number is 4/5/2022 and was last updated on 4/5/2022.

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 IllnessYes

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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