Arizona Childrens Therapy Center Llc

LBN: Arizona Childrens Therapy Center Llc
Arizona Childrens Therapy Center Llc is an health care organization with primary practice located at 7545 W Redbird Rd , Peoria AZ 85383-6253. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is the primary health care specialty. Arizona Childrens Therapy Center Llc can be contacted via phone (480) 510-1599, or through Evans, Roy via phone (480) 510-1599.

Contact Information

Primary practice address
7545 W Redbird Rd Peoria AZ 85383-6253
Phone: (480) 510-1599
Fax: (623) 258-4136
Website:
Map and Directions
Authorized official contact:
Name: Evans, Roy
Phone: (480) 510-1599

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X Arizona
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP5146 Arizona

Profile Details

NPI number 1023432465
LBN Legal business name Arizona Childrens Therapy Center Llc
DBA Doing business as
Authorized official Evans, Roy
Entity Organization
Organization subpart 1 No
Enumeration date Feb 5th, 2014
Last updated Apr 19th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023432465 NPPES
Arizona MEDICAID 868036

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