Forever Place Behavioral Llc

LBN: Forever Place Behavioral Llc

Forever Place Behavioral Llc is an health care organization with primary practice located at 2356 N Sand Hills Ct , Casa Grande AZ 85122-6664. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Forever Place Behavioral Llc can be contacted via phone (567) 225-4008, or through Evans, Lachoniquie Kierra via phone (567) 225-4008.

Contact Information

Primary practice address

2356 N Sand Hills Ct Casa Grande AZ 85122-6664

Phone: (567) 225-4008

Fax:

Website:

Map and Directions

Authorized official contact:

Name: Evans, Lachoniquie Kierra Registered Nurse (RN)

Phone: (567) 225-4008

Health care specialties

Specialty	Code	License #	State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness	320800000X

Profile Details

NPI number	1376296202
LBN Legal business name	Forever Place Behavioral Llc
DBA Doing business as
Authorized official	Evans, Lachoniquie Kierra Registered Nurse (RN)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	Jan 31st, 2022
Last updated	Jan 31st, 2022 - about 2 years ago

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

State	Type	Number	Issuer
All States	NPI	1376296202	NPPES
Arizona	MEDICAID	1356948954

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