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PTL BEHAVIORAL HEALTH, LLC
NPI 1003344367
Community Based Residential Treatment Facility, Mental Illness in Mesa, AZ

Active since May 31, 2017
10839 E SONRISA AVE, MESA, AZ 85212(480) 485-6075(480) 485-6865 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, May 31, 2017 (2 updates tracked since 2017).

About Ptl Behavioral Health, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PTL BEHAVIORAL HEALTH, LLC (NPI 1003344367) is a healthcare organization registered as a community based residential treatment facility, mental illness in Mesa, Arizona and active in the NPI registry since May 2017. The organization lists Stephen Kissi Lauder, Administrator, as its authorized official.

NPPES Registry Identity

NPI1003344367
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NamePTL BEHAVIORAL HEALTH, LLC
Location Address10839 E SONRISA AVEMesa, AZ 85212-5126
Mailing Address10839 E Sonrisa AveMesa, AZ 85212-5126 · (480) 485-6075 · Fax (480) 485-6865
Phone(480) 485-6075
Fax(480) 485-6865
Organization SubpartNo
Authorized OfficialStephen Kissi LauderAdministrator · (480) 516-9075
Enumeration DateMay 31, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1003344367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
10839 E SONRISA AVE, Mesa, AZ 85212
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHILOMINA ANDERSON LAUDER
Social Worker
10839 E SONRISA AVE
MESA, AZ 85212
Maricopa County (480) 485-6075

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ptl Behavioral Health, LLC's NPI number?

The NPI number for Ptl Behavioral Health, LLC is 1003344367. It was assigned to this organization in the NPPES registry on May 31, 2017.

Where is Ptl Behavioral Health, LLC located?

Ptl Behavioral Health, LLC is located at 10839 E Sonrisa Ave, Mesa, AZ 85212. The listed phone number is (480) 485-6075.

What is Ptl Behavioral Health, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Ptl Behavioral Health, LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.