SOUTHEASTERN ARIZONA BEHAVIORAL HEALTH SERVICES, INC. (NPI# 1124016019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124016019 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN ARIZONA BEHAVIORAL HEALTH SERVICES, INC. |
| Other Organization Name | SEABHS-DOUGLAS OUTPATIENT |
| Practice Address |
1701 N Douglas Ave Douglas AZ 85607-1019 |
| Mailing Address |
P.o. Box 2161 611 W. Union Street Benson AZ 85602 |
| Practice Telephone | 5203641286 |
| Practice Fax Number | 5208051221 |
| Mailing Telephone | 5205860800 |
| Mailing Fax Number | 5205860116 |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2010-07-27 |
| Authorized Official Name | MR. JOHN MOTOWSKI (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5205860800 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | BH-1896 | AZ | Agencies |
| Other Name | Type Code |
|---|---|
| SEABHS-Douglas Outpatient | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467824219 | Southeastern Arizona Behavioral Health Services, Inc. | Community/Behavioral Health | 111 W Blake St, Suite 11, Globe, AZ 85501-2177 | 2015-10-20 |
| 1336421973 | Southeastern Arizona Behavioral Health Services, Inc. | Community/Behavioral Health | 441 N Grand Ave Ste 9, Nogales, AZ 85621-2729 | 2011-09-09 |
| 1316015316 | Southeastern Arizona Behavioral Health Services, Inc. | Public Health or Welfare | 1940 E 11th St, Douglas, AZ 85607-2413 | 2006-11-30 |
| 1932156395 | Southeastern Arizona Behavioral Health Services, Inc. | Public Health or Welfare | 489 N Arroyo Blvd, Nogales, AZ 85621-2644 | 2006-05-30 |
| 1184613788 | Southeastern Arizona Behavioral Health Services, Inc. | Public Health or Welfare | 730-732 W. 4th St., Benson, AZ 85602 | 2005-10-17 |
| 1962490854 | Southeastern Arizona Behavioral Health Services, Inc. | Public Health or Welfare | 1326 Hwy 92, Bisbee, AZ 85603-1151 | 2005-10-13 |
| 1134117047 | Southeastern Arizona Behavioral Health Services, Inc. | Public Health or Welfare | 1615 S 1st Ave, Safford, AZ 85546-2103 | 2005-10-13 |
| 1952399875 | Southeastern Arizona Behavioral Health Services, Inc. | Public Health or Welfare | 185 S Moorman Ave, Sierra Vista, AZ 85635-2700 | 2005-10-13 |
| 1659369569 | Southeastern Arizona Behavioral Health Services, Inc. | Psychiatric Residential Treatment Facility | 470 S Ocotillo Ave, Benson, AZ 85602-6403 | 2005-10-13 |
| 1255329132 | Southeastern Arizona Behavioral Health Services, Inc. | Public Health or Welfare | 590 S Ocotillo Ave, Benson, AZ 85602-6405 | 2005-10-13 |
| Street Address |
1701 N DOUGLAS AVE |
| City | DOUGLAS |
| State | AZ |
| Zip Code | 85607-1019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861975047 | Guadalupe G Tapia | Social Worker | 1701 N Douglas Ave, Douglas, AZ 85607-1019 | 2018-09-13 |
| 1750823555 | Zelenia Olivia Pellat | Counselor | 1701 N Douglas Ave, Douglas, AZ 85607-1019 | 2016-11-09 |
| 1508265703 | Carlos G Quijada Sr. | Counselor | 1701 N Douglas Ave, Douglas, AZ 85607-1019 | 2014-08-14 |
| 1346549755 | Genoa Healthcare, LLC | Pharmacy | 1701 N Douglas Ave, Douglas, AZ 85607-1019 | 2011-03-24 |
| 1518150218 | Candace Ilene Weingart | Counselor | 1701 N Douglas Ave, Douglas, AZ 85607-1019 | 2007-08-25 |
| 1265512750 | Natividad Cano | Counselor | 1701 N Douglas Ave, Douglas, AZ 85607-1019 | 2006-10-17 |
| 1528148186 | Pamela Burns | Counselor | 1701 N Douglas Ave, Douglas, AZ 85607-1019 | 2006-10-17 |
| 1669563979 | Colleen Kay Mattson | Counselor | 1701 N Douglas Ave, Douglas, AZ 85607-1019 | 2006-09-28 |
| 1124119003 | Betty Lynn Spering | Counselor | 1701 N Douglas Ave, Douglas, AZ 85607-1019 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811472665 | Chiricahua Community Health Centers, Inc | Clinic/Center | 1151 16th Street, Douglas, AZ 85607 | 2018-09-27 |
| 1457758609 | Angela Leah Overturf | Nurse Practitioner | 100 East 5th Street, Douglas, AZ 85607 | 2014-12-02 |
| 1609279108 | Walter Tucker | Counselor | 2100 E 8th, Douglas, AZ 85607 | 2014-09-29 |
| 1851700488 | Gerardo Grijalva | Non-emergency Medical Transport (VAN) | 2714 E 6th St, Douglas, AZ 85607 | 2014-08-07 |
| 1174933246 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 1019 F Ave, Douglas, AZ 85607 | 2014-04-29 |
| 1831473164 | Cheryl Lynn Mcneeley | Speech-Language Pathologist | 815 E. 15th Street, Douglas, AZ 85607 | 2011-10-05 |
| 1245523364 | Community Intervention Associates | Community/Behavioral Health | 1701 North Douglasave, Douglas, AZ 85607 | 2011-05-23 |
| 1174820898 | Chiricahua Community Health Centers, Inc | Clinic/Center | 815 15th Street, Douglas, AZ 85607 | 2011-02-15 |
| 1033319512 | Community Healthcare of Douglas Inc | Clinic/Center | 1906 11th Street, Douglas, AZ 85607 | 2007-07-23 |
| 1538360888 | Jay Daniel Zamora | Chiropractor | 1915 E 10th St, Douglas, AZ 85607 | 2007-05-31 |
| Find all providers in zip 85607 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700442753 | Region Xi Field Fiscal Office | Public Health or Welfare | 1400 Peterson Ave N Ste D, Douglas, GA 31533-2833 | 2019-05-15 |
| 1477982395 | Psa Behavioral Health Agency | Public Health or Welfare | 541 E 10th St, Douglas, AZ 85607-2009 | 2013-11-01 |
| 1316015316 | Southeastern Arizona Behavioral Health Services, Inc. | Public Health or Welfare | 1940 E 11th St, Douglas, AZ 85607-2413 | 2006-11-30 |
| 1255438651 | County of Converse | Public Health or Welfare | 442 Center, Douglas, WY 82633 | 2006-09-20 |
| 1316976699 | Coffee County Board of Health | Public Health or Welfare | 1003 Shirley Ave, Douglas, GA 31533-2123 | 2006-06-30 |
| 1225074685 | Town of Douglas | Public Health or Welfare | 29 Depot St, Douglas, MA 01516-2374 | 2006-06-22 |
| 1952346074 | Coffee County Board of Health | Public Health or Welfare | 1111 Baker Hwy W, Douglas, GA 31533-2107 | 2006-06-20 |
| 1366864423 | Psa Behavioral Health Agency | Public Health or Welfare | 1500 E 15th St, Room 608, Douglas, AZ 85607-1731 | 2014-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861701 | Agape Love Community Center LLC | Public Health or Welfare | 2750 W Mcdowell Rd, Phoenix, AZ 85009-2605 | 2020-11-04 |
| 1508481854 | Hamoecrc, LLC | Public Health or Welfare | 4413 N 106th Ave, Phoenix, AZ 85037-5563 | 2020-06-12 |
| 1699307306 | Arizona Healthcare Outreach | Public Health or Welfare | 3581 W Northern Ave Ste 8, Phoenix, AZ 85051-9404 | 2020-02-10 |
| 1962949008 | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm | Public Health or Welfare | 1216 N. 307th Avenue, San Lucy Clinic, Gila Bend, AZ 85337 | 2017-01-27 |
| 1316484462 | Golder Ranch Fire District | Public Health or Welfare | 3885 E Golder Ranch Dr, Tucson, AZ 85739-9797 | 2017-01-27 |
| 1609226364 | Clean Colonic LLC | Public Health or Welfare | 7560 S. Willow Dr, Tempe, AZ 85283 | 2016-06-14 |
| 1316304546 | Psa Behavioral Health Agency | Public Health or Welfare | 1308 N Stockton Hill Rd, Suite D, Kingman, AZ 86401-5139 | 2016-01-19 |
| 1346606761 | Banner Whole Health Clinic | Public Health or Welfare | 535 N, Wimont, Tucson, AZ 85711 | 2016-01-14 |
| 1467822734 | Psa Behavioral Health Agency | Public Health or Welfare | 4665 S Ash Ave Ste G-1, Tempe, AZ 85282-6765 | 2015-09-30 |
| 1003207226 | Summit Fire District | Public Health or Welfare | 8905 Koch Field Rd, Flagstaff, AZ 86004-3261 | 2015-02-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.