Edit Behavioral Health LLC

Primary specialty

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

Legal business name

EDIT BEHAVIORAL HEALTH LLC

Practice address

813 S Parker PL
Casa Grande, AZ 85122-6834

Phone

(702) 332-1399

NPI assigned

Mar 30, 2023

Organization subpart

No

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

Authorized official

Name

Britney Lavergne

Title

Owner

Phone

(909) 956-0223

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1114622248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7339 E WILLIAMS DR UNIT 26048",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852559998",
            "telephone_number": "909-956-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 S PARKER PL",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851226834",
            "telephone_number": "702-332-1399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "813 S Parker Pl",
            "address_purpose": "LOCATION",
            "city": "Casa Grande",
            "state": "AZ",
            "postal_code": "851226834",
            "country_code": "US",
            "telephone_number": "702-332-1399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "813 S Parker Pl",
            "address_purpose": "LOCATION",
            "city": "Casa Grande",
            "state": "AZ",
            "postal_code": "851226834",
            "country_code": "US",
            "telephone_number": "702-332-1399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EDIT BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "LAVERGNE",
        "authorized_official_first_name": "BRITNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-956-0223"
    },
    "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": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Casa Grande, AZ
• Providers in Casa Grande, 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 Mar 30, 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.