Hassayampa Center for Families LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LCSW-12968 Issued in AZ

Legal business name

HASSAYAMPA CENTER FOR FAMILIES LLC

Practice address

510 W Savage St
Wickenburg, AZ 85390-2206

Phone

(203) 449-0972

Fax

(480) 383-6356

NPI assigned

Feb 26, 2016

Organization subpart

No

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

Authorized official

Name

Laura L Gates, LCSW

Title

Owner

Phone

(203) 449-0972

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457568000000",
    "number": "1477913952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 DESERT CANYON RD",
            "city": "WICKENBURG",
            "state": "AZ",
            "postal_code": "853903360",
            "telephone_number": "203-449-0972",
            "fax_number": "480-383-6356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 W SAVAGE ST",
            "city": "WICKENBURG",
            "state": "AZ",
            "postal_code": "853902206",
            "telephone_number": "203-449-0972",
            "fax_number": "480-383-6356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HASSAYAMPA CENTER FOR FAMILIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-26",
        "last_updated": "2016-03-10",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-449-0972",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "LCSW-12968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Gonzales
• Naomi Ruth Gregory, DC
• H & H Hospitalist PLLC
• Cami Hall
• Archy D Hamm
• Hassayampa Health Services LLC
• Hassayampa Inpatient Services, PLLC
• Healing House of Az
• Susan Lynne Heidner, PMHNP-BC
• Robin Ray Heinrich, M.A. LPC

• Community/Behavioral Health Agency in Wickenburg, AZ
• Providers in Wickenburg, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.