NPIMap

Organization Active NPI

Liv Well Behavioral

Doing business as LWB Holly House

  • Community/Behavioral Health Agency
  • Scottsdale, AZ
National Provider Identifier
1790509354
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LIV WELL BEHAVIORAL
Doing business as
LWB Holly House
Practice address
8315 E Holly St
Scottsdale, AZ 85257-2823
Phone
(602) 856-6535
Fax
(480) 618-4133
NPI assigned
Nov 11, 2024
Organization subpart
Yes
Parent organization
LIV WELL BEHAVIORALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Authorized official

Name
Mr. Daniel Gonzalez
Title
Chief Executive Officer
Phone
(480) 522-4268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

8315 E Holly St
Scottsdale, AZ 85257-2823

Mailing address

900 E Pecos Rd Ste 8
Chandler, AZ 85225-2400
Phone (602) 856-6535

Other identifiers 2

IdentifierTypeStateIssuer
170926MedicaidAZ
BH10366OtherAZADHS

Other names 1

  • LWB Holly House Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Liv Well Behavioral4 organizations share this tax ID, including this one
Part of
Liv Well Behavioral

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1790509354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E PECOS RD STE 8",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852252400",
            "telephone_number": "602-856-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8315 E HOLLY ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852572823",
            "telephone_number": "602-856-6535",
            "fax_number": "480-618-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIV WELL BEHAVIORAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIV WELL BEHAVIORAL",
        "enumeration_date": "2024-11-11",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "480-522-4268",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170926",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADHS",
            "identifier": "BH10366",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LWB Holly House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.