Active NPI
FSL Pathways
- Mental Illness Community Based Residential Treatment Facility
- Phoenix, AZ
National Provider Identifier
1467518985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- License
- BH2217
- Legal business name
- FSL PATHWAYS
- Practice address
- 3916 W Evans Dr
Phoenix, AZ 85053-5454 - Phone
- (602) 866-1673
- NPI assigned
- Dec 29, 2006
- 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
- Charnise Moore, DRPH, MPH, CHC, CHRC
- Title
- Chief Program Officer
- Phone
- (602) 285-1800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | BH2217 | AZ | Primary |
Addresses
Primary practice location
3916 W Evans Dr
Phoenix, AZ 85053-5454
Mailing address
1201 E Thomas Rd
Phoenix, AZ 85014-5734
Phone (602) 285-1800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BH2217 | Other | AZ | ADHS BHS LICENSE |
| 844896 | Medicaid | AZ |
Other names 2
- AllThrive365 BHS
- AGL - Evans
National Provider Directory
National Provider Directory- Tax ID family
- Allthrive365 BHS
Other organizations with this tax ID 24
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility (Mental Illness)
- Litchfield Park, AZ
- NPI 1326317413
-
- Mental Illness Community Based Residential Treatment Facility
- Glendale, AZ
- NPI 1063578730
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Phoenix, AZ
- NPI 1083967376
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Phoenix, AZ
- NPI 1184780942
-
- Mental Illness Community Based Residential Treatment Facility
- Phoenix, AZ
- NPI 1255604864
-
- Mental Illness Community Based Residential Treatment Facility
- Phoenix, AZ
- NPI 1346306180
-
- Mental Illness Community Based Residential Treatment Facility
- Phoenix, AZ
- NPI 1356407035
-
- Mental Illness Community Based Residential Treatment Facility
- Peoria, AZ
- NPI 1366508186
-
- Mental Illness Community Based Residential Treatment Facility
- Phoenix, AZ
- NPI 1427114024
-
- Mental Illness Community Based Residential Treatment Facility
- Phoenix, AZ
- NPI 1487710133
-
- Mental Illness Community Based Residential Treatment Facility
- Phoenix, AZ
- NPI 1508092776
-
- Mental Illness Community Based Residential Treatment Facility
- Phoenix, AZ
- NPI 1538225289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773964800000",
"number": "1467518985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 E THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850145734",
"telephone_number": "602-285-1800",
"fax_number": "602-285-1838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3916 W EVANS DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850535454",
"telephone_number": "602-866-1673"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FSL PATHWAYS",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-29",
"last_updated": "2026-03-20",
"certification_date": "2026-03-20",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "CHARNISE",
"authorized_official_title_or_position": "CHIEF PROGRAM OFFICER",
"authorized_official_telephone_number": "602-285-1800",
"authorized_official_credential": "DRPH, MPH, CHC, CHRC"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "AZ",
"license": "BH2217",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADHS BHS LICENSE",
"identifier": "BH2217",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "844896",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "AllThrive365 BHS",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "AGL - Evans",
"code": "5",
"type": "Other Name"
}
]
}
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 Mar 20, 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.