Individual provider · Type 1 NPI

Terresha Y. Peten

Community/Behavioral Health Agency · Phoenix, AZ

NPI number 1053902254 Active

Practice location

2444 W Bloch Rd
Phoenix, AZ 85041-2930

Mailing address

4915 W Lynne Ln
Laveen, AZ 85339-4240

Other practice locations

  • 4915 W Lynne Ln, Laveen, AZ 85339-4240 · (779) 248-1040

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1053902254

Terresha Y. Peten's National Provider Identifier is 1053902254, issued on Jan 30, 2021. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Phoenix, AZ. The record was last updated on Jan 30, 2021.