HARBOR BEHAVIORAL HEALTH & COUNSELING, LLC (NPI# 1861967960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861967960 |
| Entity Type | Organization |
| Organization Name | HARBOR BEHAVIORAL HEALTH & COUNSELING, LLC |
| Practice Address |
6736 W Carson Rd Laveen AZ 85339-7024 |
| Mailing Address |
4433 W Paseo Way Laveen AZ 85339-2087 |
| Practice Telephone | 8609386845 |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2018-10-04 |
| Authorized Official Name | MR. JOHNWICK NATHAN (OWNER) |
| Authorized Official Telephone | 8609386845 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities | ||
| Y | 276400000X | Rehabilitation, Substance Use Disorder Unit | Hospital Units |
| Street Address |
6736 W CARSON RD |
| City | LAVEEN |
| State | AZ |
| Zip Code | 85339-7024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336642958 | Project180-phoenix, LLC | Clinic/Center | 6736 W Carson Rd, Laveen, AZ 85339-7024 | 2018-03-09 |
| 1972159093 | Carson Care Facility LLC | Assisted Living Facility | 6736 W Carson Rd, Laveen, AZ 85339-7024 | 2019-08-14 |
| 1306327770 | Johnwick Nathan | Counselor | 6736 W Carson Rd, Laveen, AZ 85339-7024 | 2018-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093351611 | Nationwide Vision Center, LLC | Technician/Technologist | 7650 S 59th Ave, Suite 101, Laveen, AZ 85339 | 2019-11-19 |
| 1164074282 | Alvis Lee Robertson | Counselor | 3850 N. 16th St. E. Beltline Rd., Laveen, AZ 85339 | 2019-07-09 |
| 1912493933 | Kristine Robles | Specialist/Technologist | 6501 W Alta Vista Rd, Laveen, AZ 85339 | 2018-07-02 |
| 1366968521 | Care Line, LLC | Home Health | 5818 West Pedro Lane, Laveen, AZ 85339 | 2017-08-19 |
| 1881119550 | Calvary Home Care Services Inc | Day Training, Developmentally Disabled Services | 4360 W. Alta Vista Rd, Laveen, AZ 85339 | 2017-08-03 |
| 1295284354 | Brian Hiapo Jr. | Assistant, Podiatric | 6170 S 51st Ave Ste 103, Laveen, AZ 85339 | 2016-09-29 |
| 1962850073 | Laveen Pediatric Dental Partners, LLP | Dentist | 5235 W. Baseline Rd, Ste 187, Laveen, AZ 85339 | 2016-05-31 |
| 1619353992 | Tiffany Lee | Specialist/Technologist | 7034 S. 64ave, Laveen, AZ 85339 | 2015-08-10 |
| 1558759068 | Makoto Wakamori | Counselor | 3850 North 16th Street Laveen Az 85339, Laveen, AZ 85339 | 2015-01-06 |
| 1568850329 | Gila River Health Care Corporation | Community Based Residential Treatment Facility, Mental Illness | 142226 S 53rd Ave, Laveen, AZ 85339 | 2015-01-02 |
| Find all providers in zip 85339 | ||||
| Taxonomy Code | 276400000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation, Substance Use Disorder Unit |
| A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.) |
| Notes: Source: Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821616319 | Az Peace of Mind Behavioral Health Home LLC | Rehabilitation, Substance Use Disorder Unit | 15622 W Sierra St, Surprise, AZ 85379-1038 | 2020-07-10 |
| 1265849509 | Tru Recovery Solutions, LLC | Rehabilitation, Substance Use Disorder Unit | 8196 E Valley Rd, Prescott Valley, AZ 86314-9465 | 2014-07-18 |
| 1417391293 | Prescott Detox Center, LLC | Rehabilitation, Substance Use Disorder Unit | 831 Gail Gardner Way, Prescott, AZ 86305-1606 | 2013-04-23 |
| 1215263314 | A Sober Way Home | Rehabilitation, Substance Use Disorder Unit | 609 W Gurley St, Prescott, AZ 86305-3619 | 2009-10-23 |
| 1982894036 | A Sober Way Home | Rehabilitation, Substance Use Disorder Unit | 1211 East Gurley Street, Suite 2, Prescott, AZ 86301 | 2007-07-25 |
| 1912523549 | Buena Vista Recovery, LLC | Rehabilitation, Substance Use Disorder Unit | 3033 S Arizona Ave Ste 110, Chandler, AZ 85248-2717 | 2020-06-19 |
| 1851917488 | Buena Vista Recovery, LLC | Rehabilitation, Substance Use Disorder Unit | 5151 E Pima St Ste 110, Tucson, AZ 85712-3627 | 2020-06-19 |
| 1487126686 | Fjcm Behavioral Health Care LLC | Rehabilitation, Substance Use Disorder Unit | 2710 E Valencia Dr, Phoenix, AZ 85042-7081 | 2018-12-28 |
| 1184103400 | Crossroads, Inc | Rehabilitation, Substance Use Disorder Unit | 1700 E Thomas Rd, Phoenix, AZ 85016-7605 | 2018-08-08 |
| 1457746497 | Pasadera Behavioral Health Network, Inc. | Rehabilitation, Substance Use Disorder Unit | 2502 N Dodge Blvd, Suite 190, Tucson, AZ 85716-2671 | 2015-04-06 |
| Find all providers with the same taxonomy | ||||
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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.