ARIZONA CENTER FOR COUPLES AND FAMILIES, LLC (NPI# 1437691649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437691649 |
| Entity Type | Organization |
| Organization Name | ARIZONA CENTER FOR COUPLES AND FAMILIES, LLC |
| Other Organization Name | PRESCOTT VALLEY CENTER FOR COUPLES AND FAMLIES |
| Practice Address |
2517 N Great Western Dr Ste L Prescott Valley AZ 86314-2597 |
| Mailing Address |
758 W Valley View Way Lehi UT 84043-2667 |
| Practice Telephone | 9287932233 |
| Mailing Telephone | 9288308501 |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2019-04-08 |
| Authorized Official Name | DR. BRANDEN HAYES HENLINE (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Telephone | 9288308501 |
| Authorized Official Credential | PHD, LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | LMFT-15128 | AZ | Agencies |
| Other Name | Type Code |
|---|---|
| Prescott Integrated Counseling and Wellness | Doing Business As Name - Organization |
| Prescott Valley Center for Couples and Famlies | Doing Business As Name - Organization |
| Street Address |
2517 N GREAT WESTERN DR STE L |
| City | PRESCOTT VALLEY |
| State | AZ |
| Zip Code | 86314-2597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467007815 | Tracey Small | Marriage & Family Therapist | 2517 N Great Western Dr Ste L, Prescott Valley, AZ 86314-2597 | 2019-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992326029 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 3001 N. Mountain View Rd, Prescott Valley, AZ 86314 | 2020-04-29 |
| 1124666516 | Best Care Behavioral Homes LLC | Community/Behavioral Health | 5385 W Saddleback Drive, Prescott Valley, AZ 86314 | 2019-12-16 |
| 1912541558 | The Stateserv Companies, LLC | Durable Medical Equipment & Medical Supplies | 8926 E. Long Mesa Drive, Prescott Valley, AZ 86314 | 2019-11-06 |
| 1003398983 | Richard Telck | Pharmacist | 7720 E. Highway 69, Prescott Valley, AZ 86314 | 2018-09-06 |
| 1912493065 | Akdhc,llc | Internal Medicine | 7862 E Florentine Rd, Suite 120, Prescott Valley, AZ 86314 | 2018-07-02 |
| 1700377983 | Pronghorn Psychiatry | Clinic/Center | 5940 E. Copper Hill Dr, Suite E, Prescott Valley, AZ 86314 | 2018-05-23 |
| 1689185126 | Thumb Butte Urgent Care | Clinic/Center | 6496 East Highway 69, Prescott Valley, AZ 86314 | 2017-10-23 |
| 1740738046 | Janine Kauffmann | Pharmacist | 7720 East Highway 69, Prescott Valley, AZ 86314 | 2016-09-14 |
| 1528415650 | Nazcare, Inc. | Exclusive Provider Organization | 8200 E. Jacque Dr., Prescott Valley, AZ 86314 | 2016-05-18 |
| 1184087009 | William Beverly | Marriage & Family Therapist | 8603 E. Eastridge Dr., Ste A, Prescott Valley, AZ 86314 | 2016-03-29 |
| Find all providers in zip 86314 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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 support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124666516 | Best Care Behavioral Homes LLC | Community/Behavioral Health | 5385 W Saddleback Drive, Prescott Valley, AZ 86314 | 2019-12-16 |
| 1922574722 | Transformational Opportunities Inc | Community/Behavioral Health | 7084 E Encampment Dr, Prescott Valley, AZ 86314-1905 | 2018-10-18 |
| 1003381740 | Grossman & Grossman, Ltd. | Community/Behavioral Health | 3075 N Windsong Dr Ste B1, Prescott Valley, AZ 86314-1208 | 2018-10-09 |
| 1588153308 | Sage Counseling, Inc. | Community/Behavioral Health | 3001 N Main St Ste 1d, Prescott Valley, AZ 86314-1215 | 2018-05-07 |
| 1780193086 | Best Care Behavioral Homes LLC | Community/Behavioral Health | 4161 N Cholla Dr, Prescott Valley, AZ 86314-7409 | 2017-09-29 |
| 1134649924 | West Yavapai Guidance Clinic Inc | Community/Behavioral Health | 8655 E Eastridge Rd Ste A, Prescott Valley, AZ 86314-8561 | 2017-06-22 |
| 1689118549 | Caring Residential Services, LLC | Community/Behavioral Health | 4558 N Miner Rd, Prescott Valley, AZ 86314-3901 | 2016-12-12 |
| 1730319450 | Child & Family Support Service, Inc | Community/Behavioral Health | 8652 E Eastridge Rd, Suite 103, Prescott Valley, AZ 86314-9462 | 2009-07-15 |
| 1760547715 | Metro Care Services, Inc | Community/Behavioral Health | 3050 N Navajo Dr, Suite 105, Prescott Valley, AZ 86314-8663 | 2006-12-27 |
| 1760033914 | Struve Services, LLC | Community/Behavioral Health | 8705 E Eastridge Rd, Prescott Valley, AZ 86314-8563 | 2019-09-27 |
| Find all providers in PRESCOTT VALLEY | ||||
| City | PRESCOTT VALLEY |
| Zip Code | 86314 |
Please comment or provide details below to improve the information on ARIZONA CENTER FOR COUPLES AND FAMILIES, LLC.
| 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.