New Vision Behavioral Health & Wellness, LLC
Organization Active NPI Community/Behavioral Health Agency · Phoenix, AZ
NPI 1366052870 · NPPES record last updated Jun 28, 2024
Key facts
- NPI
- 1366052870
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- NEW VISION BEHAVIORAL HEALTH & WELLNESS, LLC
- Practice address
- 3119 N 46TH Dr
Phoenix, AZ 85031-3705 - Phone
- (602) 367-5345
- NPI assigned
- Aug 10, 2020
- Organization subpart
- No
Authorized official
- Name
- Monique Mason
- Title
- Administrator
- Phone
- (623) 229-4755
Corporate family (same tax ID) 6
National Provider Directory
- Tax ID family
- New Vision Behavioral Health Wellness LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes | ||
| Clinic/Center | 261Q00000X |
Addresses
Primary practice location
3119 N 46TH Dr
Phoenix, AZ 85031-3705
Mailing address
4409 N 179TH Dr
Goodyear, AZ 85395-5201
Phone (623) 229-4755
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All providers in Phoenix, AZ · Community/Behavioral Health Agency in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.