Agave Family Services Llc
LBN: Brain Solutions Pllc
Agave Family Services Llc is an health care organization with primary practice located at 1930 S Alma School Rd Ste A206 , Mesa AZ 85210-3066. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty.
Brain Solutions Pllc can be contacted via phone (480) 779-9050, or through Mackey, Jonathan Charles via phone (480) 779-9050.
Contact Information
Primary practice address
1930 S Alma School Rd Ste A206
Mesa AZ 85210-3066
Phone: (480) 779-9050
Fax: (480) 717-4025
Website:
Authorized official contact:
Name: Mackey, Jonathan Charles Licensed Clinical Social Worker (LCSW)
Phone: (480) 779-9050
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1548692742 |
|---|---|
| LBN Legal business name | Brain Solutions Pllc |
| DBA Doing business as | Agave Family Services Llc |
| Authorized official | Mackey, Jonathan Charles Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 30th, 2013 |
| Last updated | Jan 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548692742 | NPPES |
| Arizona | MEDICAID | 854031 |
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