BBC Whitton, LLC
Organization Active NPI Substance Abuse Rehabilitation Facility · Phoenix, AZ
NPI 1891283149 · NPPES record last updated Apr 23, 2018
Key facts
- NPI
- 1891283149
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- License
- BH5269 (AZ)
- Legal business name
- BBC WHITTON, LLC
- Practice address
- 1106 E Whitton Ave
Phoenix, AZ 85014-5053 - Phone
- (602) 626-8112
- NPI assigned
- Apr 23, 2018
- Organization subpart
- Yes
- Parent organization (as reported)
- BUILDING BLOCKS COUNSELING,LLC
Authorized official
- Name
- Ms. Christine Stevens
- Title
- Compliance Director
- Phone
- (480) 223-2546
Practitioners 9
-
Wendy L. Aragaki, FNP-C
-
Lizete Diaz, PMHNP
-
Abbas Ghazi, PMHNP-BC
-
Kenneth Scott Gifford, CFRN
-
Emily Ngunjiri, PMHNP
-
Paulette D Winsor, PMHNP-BC
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2153009 | BBC Whitton | Certificate of waiver | Aug 20, 2026 |
National Provider Directory
- Part of
- Building Blocks Counselingllc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | BH5269 | AZ | Yes |
Addresses
Primary practice location
1106 E Whitton Ave
Phoenix, AZ 85014-5053
Mailing address
PO Box 44701
Phoenix, AZ 85064-4701
Phone (602) 875-0409
Other names
- BBC Midtown
Other providers in Phoenix, AZ
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- BBC Scottsdale LLC
- BBC Scottsdale LLC
- BBC Scottsdale LLC
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- BBS Wellness LLC
- Bbspt LLC
- BC Anesthesia Services LLC
- BCD Holdings, LLC
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All providers in Phoenix, AZ · Substance Abuse Rehabilitation Facility in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.