SAMARIA BEHAVIORAL HEALTH CENTER LLC NPI 1861099798

NPI Information

NPI: 1861099798
Provider Name: SAMARIA BEHAVIORAL HEALTH CENTER LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

CLIA Number: 03D2200938

Address:
201 W GUADALUPE RD STE 318
GILBERT, AZ
ZIP 85233
Phone: (480) 471-8980
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SAMARIA BEHAVIORAL HEALTH CENTER LLC is a psychiatric/mental health nurse practitioner in Gilbert, AZ. SAMARIA BEHAVIORAL HEALTH CENTER LLC NPI is 1861099798. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

201 W GUADALUPE RD STE 318
GILBERT, AZ
ZIP 85233-335
Phone: (480) 471-8980
Fax: (480) 912-1061

The provider's authorized official is Benitho Louissaint .
The authorized official title is Member and has the following contact phone number (480) 471-8980.

The CLIA number assigned to this NPI record is 03D2200938 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2020 and was last updated on 11/18/2020.

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	Primary
1	363LF0000X	Nurse Practitioner	Family	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	Yes
3	367500000X	Nurse Anesthetist, Certified Registered		No

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: 11/14/2023

NPI Synchronization or Removal

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