MRS. BRENDA LEE NEELEY (NPI# 1063828663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063828663 |
| Entity Type | Individual |
| Full Name | MRS. BRENDA LEE NEELEY |
| Credential | LMSW, LISAC |
| Practice Address |
13100 S. Sunland Gin Road Arizona City AZ 85123-4872 |
| Mailing Address |
Po Box 4872 Arizona City AZ 85123-2730 |
| Practice Telephone | 5204132750 |
| Practice Fax Number | 5204665266 |
| Mailing Telephone | 5204132750 |
| Mailing Fax Number | 5204665266 |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2014-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LISAC-11428 | AZ | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | LMSW-13976 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
13100 S. SUNLAND GIN ROAD |
| City | ARIZONA CITY |
| State | AZ |
| Zip Code | 85123-4872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093370561 | Resiliency Outreach Community Services, Inc | Case Manager/Care Coordinator | 15970 S Shibell Circle, Unit A, Arizona City, AZ 85123 | 2019-05-09 |
| 1548794142 | Ajo Community Health Center | Clinic/Center | 13060 S Sunland Gin Rd, Arizona City, AZ 85123 | 2017-04-20 |
| 1578009759 | Park Place Outreach & Counseling Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 15136 S Avalon Rd, Arizona City, AZ 85123 | 2017-01-12 |
| 1073908810 | Ccr Intergrated Health | Psychiatric Residential Treatment Facility | 12268 W Delwood Drive, 3699, Arizona City, AZ 85123 | 2015-03-30 |
| 1972940237 | Arizona City Health Associates, Inc. | Family Medicine | 13060 South Sunland Gin Road, Arizona City, AZ 85123 | 2013-05-28 |
| 1407129950 | Jr Neng Hernandez Assisted Living | Assisted Living Facility | 11528 W Madero Dr, Arizona City, AZ 85123 | 2012-02-14 |
| 1255617874 | L& C Healthcare Services | Community/Behavioral Health | 4902 N Lakeshore Drive, Suite1564, Arizona City, AZ 85123 | 2011-10-27 |
| 1548546039 | Community Partners Integrated Healthcare, Inc. | Community/Behavioral Health | 13100 S. Sunland Gin Road., Suite 1-3, Arizona City, AZ 85123 | 2011-10-27 |
| 1679855878 | Deborah Ann Dexter | Specialist/Technologist | 10089 Concordia Dr., Arizona City, AZ 85123 | 2011-09-13 |
| 1932420403 | Arizona Counseling & Treatment Services, L.L.C. | Community/Behavioral Health | 13100 S. Sunland Gin Rd., Ste. 1, Arizona City, AZ 85123 | 2010-06-18 |
| Find all providers in zip 85123 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043528631 | Michelle Marie Thornton | Counselor | 13100 S. Sunland Gin Rd, Arizona City, AZ 85123-4872 | 2010-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534946 | Jodie Lynn Gonzalez | Counselor | 20430 W Carla Vista, Buckeye, AZ 85326-4698 | 2020-10-06 |
| 1649885716 | Global Family LLC | Counselor | 4523 N 92nd Ave, Phoenix, AZ 85037-2450 | 2020-09-15 |
| 1891300299 | Roundsville Drug and Alcohol Treatment of Arizona | Counselor | 610 N Bagby Dr, Prescott, AZ 86301-2588 | 2020-09-11 |
| 1982218772 | Bashar Aldeen | Counselor | 3401 W Country Gables Dr, Phoenix, AZ 85053-4756 | 2020-08-31 |
| 1811509581 | Creosote Mental Health Group | Counselor | 4646 N Swan Rd Ste 105, Tucson, AZ 85718-6715 | 2020-08-23 |
| 1316559644 | Pamela Mcrae | Counselor | 17611 W Pershing St, Surprise, AZ 85388-5024 | 2020-08-18 |
| 1508478082 | Tahonna Latreise Surrell | Counselor | 3236 E Chandler Blvd Unit 1034, Phoenix, AZ 85048-7281 | 2020-08-17 |
| 1619588209 | Teri Sebastian | Counselor | 240 S Montezuma St Ste 201e, Prescott, AZ 86303-4712 | 2020-08-16 |
| 1497366314 | Cachora Standifer | Counselor | 6294 S Eagles Talon Pkwy, Tucson, AZ 85757-1639 | 2020-08-13 |
| 1346858883 | Heather Romero | Counselor | 110 W Camelback Rd Ste 200, Phoenix, AZ 85013-2564 | 2020-07-21 |
| Find all providers with the same taxonomy | ||||
| City | ARIZONA CITY |
| Zip Code | 85123 |
Please comment or provide details below to improve the information on MRS. BRENDA LEE NEELEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.