Kou Behavorial Home LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

KOU BEHAVORIAL HOME LLC

Practice address

19752 W Buchanan St
Buckeye, AZ 85326-3054

Phone

(480) 203-2718

NPI assigned

Apr 16, 2025

Organization subpart

No

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

Authorized official

Name

Wortee Yallay

Title

Ceo

Phone

(609) 222-0263

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1744761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1356137426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19752 W BUCHANAN ST",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853263054",
            "telephone_number": "480-203-2718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19752 W BUCHANAN ST",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853263054",
            "telephone_number": "480-203-2718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOU BEHAVORIAL HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-16",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "YALLAY",
        "authorized_official_first_name": "WORTEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-222-0263"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khakwani and Mohammad Medical PC (PDS Medical Group Buckeye)
• Khakwani and Mohammad Medical PC (PDS Medical Group Marketplace)
• Ayeshaw Jabeen Khan, D.M.D.
• Daniel Lee Knight, DC
• John F Konings, MD
• Lama Home LLC
• Matthew Lamca, PA-C
• Ryan Land, DMD
• Jeffrey Michael Landram, PT, DPT
• Amber Nicole Langston, PA-C

• Addiction (Substance Use Disorder) Counselor in Buckeye, AZ
• Providers in Buckeye, AZ by specialty
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.

Verify at the official NPI Registry.