Looking Forward Behavioral Health Residential Facility Inc.

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

BH4513 Issued in AZ

Legal business name

LOOKING FORWARD BEHAVIORAL HEALTH RESIDENTIAL FACILITY INC.

Practice address

6202 W Oregon Ave
Glendale, AZ 85301-6632

Phone

(602) 559-6033

Fax

(623) 322-8622

NPI assigned

Apr 21, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Tanya Marguerite Ayiyi, LPN

Title

Ceo

Phone

(602) 559-6033

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1710374442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6202 W OREGON AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853016632",
            "telephone_number": "602-559-6033",
            "fax_number": "623-322-8622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6202 W OREGON AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853016632",
            "telephone_number": "602-559-6033",
            "fax_number": "623-322-8622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOOKING FORWARD BEHAVIORAL HEALTH RESIDENTIAL FACILITY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-21",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "AYIYI",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "MARGUERITE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-559-6033",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "AZ",
            "license": "BH4513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrian Senh Long, FNP-C
• McKenzie Dugan Long, PT
• Carin Elizabeth Longo
• James A Longton, DPM
• Gabriella Loniewski
• Brian Lopez Juarez
• Roberto Antonio Lopez-Pacheco, MD
• Denise Lyn Lopez, PA-C
• Elizabeth Lopez, P.A.-C.
• Engelberth Alexander Lopez

• Emotionally Disturbed Childrens' Residential Treatment Facility in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.