Lifewell Behavioral Wellness

LBN: Lifewell Behavioral Wellness
Lifewell Behavioral Wellness is an health care organization with primary practice located at 621 W Southern Ave , Mesa AZ 85210-5004. 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. Lifewell Behavioral Wellness can be contacted via phone (602) 808-2800, or through Mckelvey, Thomas K via phone (602) 599-5410.

Contact Information

Primary practice address
621 W Southern Ave Mesa AZ 85210-5004
Phone: (602) 808-2800
Fax: (602) 808-2799
Website:
Map and Directions
Authorized official contact:
Name: Mckelvey, Thomas K
Phone: (602) 599-5410

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X BH2062

Profile Details

NPI number 1801976709
LBN Legal business name Lifewell Behavioral Wellness
DBA Doing business as
Authorized official Mckelvey, Thomas K
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2006
Last updated Dec 14th, 2016 - about 8 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

StateTypeNumberIssuer
All States NPI 1801976709 NPPES
Arizona MEDICAID 729551

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