| St. Luke's Behavioral Health Center, Outpatient Clinic | |
|
1800 E Van Buren St Phoenix AZ 85006-3742 | |
| (602) 251-8812 | |
| (602) 251-8108 |
| Full Name | St. Luke's Behavioral Health Center, Outpatient Clinic |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1800 E Van Buren St, Phoenix, Arizona |
| Authorized Official Name and Position | Julie Miller (PRESIDENT) |
| Authorized Official Contact | 6022518812 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Luke's Behavioral Health Center, Outpatient Clinic 1800 E Van Buren St Phoenix AZ 85006-3742 Ph: (602) 251-8535 | St. Luke's Behavioral Health Center, Outpatient Clinic 1800 E Van Buren St Phoenix AZ 85006-3742 Ph: (602) 251-8812 |
| NPI Number | 1932709342 |
|---|---|
| Provider Enumeration Date | 10/27/2020 |
| Last Update Date | 10/27/2020 |
| Certification Date | 10/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932709342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Amra Stafford, Psyd, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 67 E Weldon Ave, Suite 320, Phoenix, AZ 85012 Phone: 602-456-7565 Fax: 602-266-0234 | |
Pro Iom Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 Phone: 602-482-2282 | |
Liberty Care Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8111 N 19th Ave Apt 2038, Phoenix, AZ 85021 Phone: 602-367-7916 | |
Insight-therapy Az Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4545 E Shea Blvd Ste 235, Phoenix, AZ 85028 Phone: 602-315-4068 Fax: 602-675-2705 | |
White Tiger Integrated Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 67 E Weldon Ave Ste 220, Phoenix, AZ 85012 Phone: 603-637-7361 | |
Eden Recovery Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2538 E University Dr Ste 180, Phoenix, AZ 85034 Phone: 480-390-3375 | |
Native Country Healthcare Systems Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4805 W Thomas Rd, Phoenix, AZ 85031 Phone: 602-706-8741 |