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SEABHS-DOUGLAS OUTPATIENT
NPI 1124016019
Public Health or Welfare in Douglas, AZ

Active since October 13, 2005
1701 N DOUGLAS AVE, DOUGLAS, AZ 85607(520) 364-1286(520) 805-1221 Get Directions Write a Review

NPPES record last updated: June 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Seabhs-douglas Outpatient NPPES

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

SEABHS-DOUGLAS OUTPATIENT (NPI 1124016019) is a healthcare organization registered as a public health or welfare in Douglas, Arizona and active in the NPI registry since October 2005. The organization lists Estella Hernandez, Contracts & Credentialing Admin, as its authorized official.

NPPES Registry Identity

NPI1124016019
Entity TypeOrganization
Primary Taxonomy251K00000X
Legal Business NameSOUTHEASTERN ARIZONA BEHAVIORAL HEALTH SERVICES, INC.
Location Address1701 N DOUGLAS AVEDouglas, AZ 85607-1019
Mailing AddressP.o. Box 2161, 611 W. Union StreetBenson, AZ 85602 · (520) 586-0800 · Fax (520) 586-0116
Phone(520) 364-1286
Fax(520) 805-1221
Organization SubpartNo
Authorized OfficialEstella HernandezContracts & Credentialing Admin · (520) 838-5513
Enumeration DateOctober 13, 2005
Last NPPES UpdateJune 10, 2022
NPPES CertifiedJune 10, 2022
✔ NPI 1124016019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPublic Health or WelfareAgencies
Taxonomy Code251K00000X
License✔ Licensed in AZ · BH-1896
1701 N DOUGLAS AVE, Douglas, AZ 85607
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Other Names 1

Other NameSeabhs-douglas Outpatient

Other Providers at the Same Location NPPES 8

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

OYERONKE O AJIBOYE-LALA NP
Nurse Practitioner (Psychiatric/Mental Health)
1701 N DOUGLAS AVE
DOUGLAS, AZ 85607
Cochise County (520) 366-3133
MRS. BETTY LYNN SPERING LISAC, MS
Counselor (Addiction (Substance Use Disorder))
1701 N DOUGLAS AVE
DOUGLAS, AZ 85607
Cochise County (520) 364-1286
NATIVIDAD CANO AGS, LISAC
Counselor (Addiction (Substance Use Disorder))
1701 N DOUGLAS AVE
DOUGLAS, AZ 85607
Cochise County (520) 364-1286
GENOA HEALTHCARE LLC
Pharmacy (Long Term Care Pharmacy)
1701 N DOUGLAS AVE
DOUGLAS, AZ 85607
Cochise County (520) 368-3059
MR. CARLOS G QUIJADA SR. MS, LPC
Counselor (Professional)
1701 N DOUGLAS AVE
DOUGLAS, AZ 85607
Cochise County (520) 366-3133
MS. COLLEEN KAY MATTSON MA, LPC
Counselor (Professional)
1701 N DOUGLAS AVE
DOUGLAS, AZ 85607
Cochise County (520) 364-1286
OLGA BALVINA RIVERO RN
Registered Nurse
1701 N DOUGLAS AVE
DOUGLAS, AZ 85607
Cochise County (520) 366-3133
MS. GUADALUPE G TAPIA LCSW
Social Worker (Clinical)
1701 N DOUGLAS AVE
DOUGLAS, AZ 85607
Cochise County (520) 366-3133

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 Southeastern Arizona Behavioral Health Services, Inc.'s NPI number?

The NPI number for Southeastern Arizona Behavioral Health Services, Inc. is 1124016019. It was assigned to this organization in the NPPES registry on October 13, 2005. The provider is also known as Seabhs-Douglas Outpatient.

Where is Southeastern Arizona Behavioral Health Services, Inc. located?

Southeastern Arizona Behavioral Health Services, Inc. is located at 1701 N Douglas Ave, Douglas, AZ 85607. The listed phone number is (520) 364-1286.

What is Southeastern Arizona Behavioral Health Services, Inc.'s specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

When was this NPI record last updated?

The NPPES record for Southeastern Arizona Behavioral Health Services, Inc. was last updated on June 10, 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.