SOUTHWEST BEHAVIORAL HEALTH SERVICES, INC. (NPI# 1407139413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407139413 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST BEHAVIORAL HEALTH SERVICES, INC. |
| Practice Address |
1845 Mcculloch Blvd N Ste B1 Lake Havasu City AZ 86403-6774 |
| Mailing Address |
3450 N 3rd St Phoenix AZ 85012-2331 |
| Practice Telephone | 9284532661 |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2011-09-26 |
| Authorized Official Name | JEFF JORDE (PRESIDENT/CEO) |
| Authorized Official Telephone | 6022579339 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
BH-3891 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | ARIZONA DEPT OF HEALTH SERVICES, OBHL | BH-3891 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922517655 | Southwest Behavioral Health Services, Inc. | Specialist | 11221 N 28th Dr Bldg E, Phoenix, AZ 85029-5615 | 2017-09-26 |
| 1023556339 | Southwest Behavioral Health Services, Inc. | Psychiatric Residential Treatment Facility | 1301 W Beale St, Kingman, AZ 86401-5434 | 2017-02-07 |
| 1578844726 | Southwest Behavioral Health Services, Inc. | Clinic/Center | 7763 E Florentine Rd, Prescott Valley, AZ 86314-2289 | 2011-09-01 |
| 1386932523 | Southwest Behavioral Health Services, Inc. | Clinic/Center | 809 Hancock Rd, Suite 1, Bullhead City, AZ 86442-5045 | 2011-07-20 |
| 1477841534 | Southwest Behavioral Health Services, Inc. | Clinic/Center | 7600 E Florentine Rd Ste 101, Ste 101, Prescott Valley, AZ 86314-1295 | 2011-07-11 |
| 1770888646 | Southwest Behavioral Health Services, Inc. | Clinic/Center | 1601 W Desert Cove Ave, Phoenix, AZ 85029-5023 | 2011-01-24 |
| 1558682914 | Southwest Behavioral Health Services, Inc. | Clinic/Center | 653 W Guadalupe Rd Unit 1018, Mesa, AZ 85210-7772 | 2010-06-18 |
| 1023339926 | Southwest Behavioral Health Services, Inc. | Clinic/Center | 8135 N 35th Ave Apt 1032, Phoenix, AZ 85051-5872 | 2010-06-15 |
| 1700106135 | Southwest Behavioral Health Services, Inc. | Clinic/Center | 1708 E Harvard St Ofc 1, Phoenix, AZ 85006-1857 | 2010-06-08 |
| 1487974812 | Southwest Behavioral Health Services, Inc. | Clinic/Center | 1700 E Don Carlos Ave Apt 101, Tempe, AZ 85281-4346 | 2010-06-08 |
| Street Address |
1845 MCCULLOCH BLVD N STE B1 |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 86403-6774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104479039 | Liska's Apothecary Shop, Inc. | Assisted Living Facility | 1840 Mesquite Ave., Ste. E, Lake Havasu City, AZ 86403 | 2019-07-19 |
| 1275033227 | Ayad Costy | Pharmacist | 75 North Lake Havasu City, Lake Havasu City, AZ 86403 | 2018-02-16 |
| 1942727250 | Ideal Health Care, L.L.C. | Prosthetic/Orthotic Supplier | 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 | 2017-08-28 |
| 1063965036 | Cerner Health Connections, Inc | Clinic/Center | 89 Civic Center Blvd, Lake Havasu City, AZ 86403 | 2016-07-26 |
| 1447643358 | Lundin Dental PC | Durable Medical Equipment & Medical Supplies | 1741 Mesquite Avenue Ste B 100, Lake Havasu City, AZ 86403 | 2015-03-17 |
| 1912301425 | Arizona Havasu Bdm Pak LLC | Dentist | 1799 North Kiowa Blvd, Unit 109, Lake Havasu, AZ 86403 | 2014-10-13 |
| 1386047850 | Emily E Vona | Nurse Practitioner | 84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403 | 2014-09-29 |
| 1750700589 | Thomas Wennergren | Pharmacist | 25 S Lake Havasu Ave, Lake Havasu City, AZ 86403 | 2014-04-09 |
| 1285997460 | Jamie L Lemire | Pharmacist | 1980 Mcculloch Blvd, Lake Havasu City, AZ 86403 | 2012-06-21 |
| 1053694448 | Goodwill of Northern Arizona | Exclusive Provider Organization | 1990 Mcculloch Blvd North, Lake Havasu City, AZ 86403 | 2011-09-22 |
| Find all providers in zip 86403 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033764097 | Havasu Behavioral Health LLC | Clinic/Center | 1695 Mesquite Ave Ste 216, Lake Havasu City, AZ 86403-5688 | 2019-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475144 | Best Self LLC | Clinic/Center | 10000 N 31st Ave Ste C100-128, Phoenix, AZ 85051-1356 | 2020-10-24 |
| 1932716594 | High End Health Care Professionals LLC | Clinic/Center | 10840 N Buffalo Dr, Fountain Hills, AZ 85268-5348 | 2020-09-28 |
| 1164039723 | Life Care Premier Services LLC | Clinic/Center | 4690 S Lakeshore Dr Apt 3052, Tempe, AZ 85282-1174 | 2020-09-28 |
| 1215544903 | Supreme Positive Innovation Services LLC | Clinic/Center | 1833 W Main St Ste 139-140, Mesa, AZ 85201-6922 | 2020-09-26 |
| 1316554421 | Essential Wellness Solutions LLC | Clinic/Center | 345 N 79th Pl, Mesa, AZ 85207-7570 | 2020-09-23 |
| 1659986636 | Cactus Blossom Counseling, Pllc | Clinic/Center | 1616 W Germann Rd Apt 2019, Chandler, AZ 85286-6984 | 2020-09-15 |
| 1164036935 | Carmen L. Lucia Psyd LLC | Clinic/Center | 15215 S 48th St Ste 154, Phoenix, AZ 85044-9139 | 2020-08-31 |
| 1366054694 | Integrative Counseling L.L.C. | Clinic/Center | 2211 E Highland Ave Ste 130, Phoenix, AZ 85016-4867 | 2020-08-18 |
| 1811507379 | Aptitude Mental Health Pllc | Clinic/Center | 5025 S Ash Ave Ste 12, Tempe, AZ 85282-6885 | 2020-08-08 |
| 1730798562 | Healthier Ever After LLC | Clinic/Center | 65 S Sycamore Ste 2, Mesa, AZ 85202-1143 | 2020-07-28 |
| Find all providers with the same taxonomy | ||||
| City | LAKE HAVASU CITY |
| Zip Code | 86403 |
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| 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.