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MESTINY BEHAVIORAL LLC
NPI 1104514694
Clinic/Center - Adult Mental Health in Phoenix, AZ

Active since April 24, 2023
11417 N 33RD AVE, PHOENIX, AZ 85029(623) 552-0135 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mestiny Behavioral Llc NPPES

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

MESTINY BEHAVIORAL LLC (NPI 1104514694) is a healthcare organization registered as an adult mental health in Phoenix, Arizona and active in the NPI registry since April 2023. The organization lists Samuel Oghenejabor, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104514694
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameMESTINY BEHAVIORAL LLC
Location Address11417 N 33RD AVEPhoenix, AZ 85029-3236
Mailing Address11417 N 33rd AvePhoenix, AZ 85029-3236 · (623) 552-0135
Phone(623) 552-0135
Organization SubpartNo
Authorized OfficialSamuel OghenejaborCeo · (623) 552-0135
Enumeration DateApril 24, 2023
NPPES CertifiedApril 24, 2023
✔ NPI 1104514694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
11417 N 33RD AVE, Phoenix, AZ 85029
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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.

MESTINY GLOBAL CARE, LLC
Community Based Residential Treatment Facility, Mental Illness
11417 N 33RD AVE
PHOENIX, AZ 85029
Maricopa County (623) 552-0135

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 Mestiny Behavioral LLC's NPI number?

The NPI number for Mestiny Behavioral LLC is 1104514694. It was assigned to this organization in the NPPES registry on April 24, 2023.

Where is Mestiny Behavioral LLC located?

Mestiny Behavioral LLC is located at 11417 N 33rd Ave, Phoenix, AZ 85029. The listed phone number is (623) 552-0135.

What is Mestiny Behavioral LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Mestiny Behavioral LLC was last updated on April 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.