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AGAVE BEHAVIORAL HEALTH, LLC
NPI 1174389878
Nurse Practitioner - Psychiatric/Mental Health in Marana, AZ

Active since February 21, 2024
36975 S ESTANCIA DR, MARANA, AZ 85658(520) 603-8447 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Agave Behavioral Health, Llc NPPES

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

AGAVE BEHAVIORAL HEALTH, LLC (NPI 1174389878) is a healthcare organization registered as a psychiatric/mental health in Marana, Arizona and active in the NPI registry since February 2024. The organization lists Kelly Irwin, Owner, as its authorized official.

NPPES Registry Identity

NPI1174389878
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameAGAVE BEHAVIORAL HEALTH, LLC
Location Address36975 S ESTANCIA DRMarana, AZ 85658-8323
Mailing Address1846 E Innovation Park Dr Ste 100Oro Valley, AZ 85755-1963 · (520) 603-8447
Phone(520) 603-8447
Organization SubpartNo
Authorized OfficialKelly IrwinOwner · (520) 603-8447
Enumeration DateFebruary 21, 2024
Last NPPES UpdateMay 23, 2024
NPPES CertifiedMay 23, 2024
✔ NPI 1174389878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
36975 S ESTANCIA DR, Marana, AZ 85658
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Agave Behavioral Health, LLC's NPI number?

The NPI number for Agave Behavioral Health, LLC is 1174389878. It was assigned to this organization in the NPPES registry on February 21, 2024.

Where is Agave Behavioral Health, LLC located?

Agave Behavioral Health, LLC is located at 36975 S Estancia Dr, Marana, AZ 85658. The listed phone number is (520) 603-8447.

What is Agave Behavioral Health, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Agave Behavioral Health, LLC was last updated on May 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.