Organization · Type 2 NPI

Beyond Blue Health Services LLC

Comprehensive Outpatient Rehabilitation Facility (CORF) · Phoenix, AZ

NPI number 1205415957 Active

Practice location

7550 N 19th Ave Ste 104
Phoenix, AZ 85021-7982

Call (602) 946-4120 Map

Other practice locations

5060 N 19th Ave Ste 308, Phoenix, AZ 85015-3213 · (702) 689-8658

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	None listed
Case Management Agency	251B00000X	None listed
Developmentally Disabled Services Day Training Agency	251C00000X	None listed
Community/Behavioral Health Agency	251S00000X	None listed
Early Intervention Provider Agency	252Y00000X	None listed
Developmental Disabilities Clinic/Center	261QD1600X	None listed
Adult Mental Health Clinic/Center	261QM0850X	None listed
Adolescent and Children Mental Health Clinic/Center	261QM0855X	None listed
Comprehensive Outpatient Rehabilitation Facility (CORF) Primary	261QR0401X	None listed

Comprehensive Outpatient Rehabilitation Facility (CORF): Definition to come...

Another provider at this address

United Integrated Health LLCMental Health Clinic/Center (Including Community Mental Health Center) Phoenix, AZ NPI 1437084084

Other comprehensive outpatient rehabilitation facility (corf) providers in Phoenix

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NPI record

NPI: 1205415957
Entity type: Organization (Type 2)
Issued: Apr 7, 2021
Last updated: May 4, 2022
Status: Active

Other names

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Beyond Blue Health Services LLC · former legal business name
Beyond Blue Health Services LLC · former legal business name

Authorized official

Keona Scott
Owner
(702) 689-8658

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1205415957

Beyond Blue Health Services LLC's National Provider Identifier is 1205415957, issued on Apr 7, 2021. The primary taxonomy on file is Comprehensive Outpatient Rehabilitation Facility (CORF) (261QR0401X), and the practice location is in Phoenix, AZ. The record was last updated on May 4, 2022.