Bahowell Treatment Center LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BAHOWELL TREATMENT CENTER LLC

Practice address

6202 S 16TH St # 180
Phoenix, AZ 85042-4434

Phone

(602) 516-4473

NPI assigned

Apr 11, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Habtom H Hadish

Title

Manager

Phone

(602) 516-4473

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1013602374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9439 W VIRGINIA AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850374433",
            "telephone_number": "602-516-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6202 S 16TH ST # 180",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850424434",
            "telephone_number": "602-516-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAHOWELL TREATMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "HADISH",
        "authorized_official_first_name": "HABTOM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "602-516-4473"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kazal Bahl, M.D.
• Rami Bahloul, M.D.
• Kira Bahnam, NMD
• Melanie Jolene Bahney, LPN
• Melita Bahor
• Brianna Bahret, LMFT
• Sarah Bahsas
• Linda Baht, CRNFA
• Marwan M Bahu, M.D.
• Bahynde the Scenes LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.