Hallmark Behavioral Health @ Lago, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

HALLMARK BEHAVIORAL HEALTH @ LAGO, LLC

Practice address

688 S Lago Dr
Apache Junction, AZ 85120-5123

Phone

(480) 625-1005

NPI assigned

May 19, 2016

Organization subpart

No

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

Authorized official

Name

Jeff Tilley

Title

Mangager

Phone

(602) 695-4156

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549411200000",
    "number": "1497102495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 E MCKELLIPS RD STE 109",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852032753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "688 S LAGO DR",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851205123",
            "telephone_number": "480-625-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALLMARK BEHAVIORAL HEALTH @ LAGO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-19",
        "last_updated": "2019-02-06",
        "status": "A",
        "authorized_official_last_name": "TILLEY",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "MANGAGER",
        "authorized_official_telephone_number": "602-695-4156"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "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": []
}

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• Veronica Colleen Hassenger, PT

• Community/Behavioral Health Agency in Apache Junction, AZ
• Providers in Apache Junction, 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 Feb 6, 2019; 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.