Active NPI
T&H Behavioral Health Agency LLC
- Mental Illness Community Based Residential Treatment Facility
- Phoenix, AZ
National Provider Identifier
1205766631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- T&H BEHAVIORAL HEALTH AGENCY LLC
- Practice address
- 1809 E Gwen St
Phoenix, AZ 85042-8012 - Phone
- (773) 600-4302
- NPI assigned
- May 19, 2026
- Last updated
- May 19, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Talmadge Eddie Watts-Porter
- Title
- Manager
- Phone
- (773) 600-4302
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | NU | Primary |
Addresses
Primary practice location
1809 E Gwen St
Phoenix, AZ 85042-8012
Mailing address
1809 E Gwen St
Phoenix, AZ 85042-8012
Phone (773) 600-4302
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Student in an Organized Health Care Education/Training Program
- Phoenix, AZ
- NPI 1154251593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779148800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779148800000",
"number": "1205766631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1809 E GWEN ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850428012",
"telephone_number": "773-600-4302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1809 E GWEN ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850428012",
"telephone_number": "773-600-4302"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "T&H BEHAVIORAL HEALTH AGENCY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-19",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"status": "A",
"authorized_official_last_name": "WATTS-PORTER",
"authorized_official_first_name": "TALMADGE",
"authorized_official_middle_name": "EDDIE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "773-600-4302"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.