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POTTERS PLACE, LLC
NPI 1306174115
Community/Behavioral Health in Phoenix, AZ

Active since December 07, 2009
8629 W ROANOKE AVE, PHOENIX, AZ 85037(623) 848-0629(623) 873-6127 Get Directions Write a Review

NPPES record last updated: December 7, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Potters Place, Llc NPPES

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

POTTERS PLACE, LLC (NPI 1306174115) is a healthcare organization registered as a community/behavioral health in Phoenix, Arizona and active in the NPI registry since December 2009. The organization lists Ardell C Daniels, Assistant Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1306174115
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePOTTERS PLACE, LLC
Location Address8629 W ROANOKE AVEPhoenix, AZ 85037-3519
Mailing Address8629 W Roanoke AvePhoenix, AZ 85037-3519 · (623) 848-0629 · Fax (623) 873-6127
Phone(623) 848-0629
Fax(623) 873-6127
Organization SubpartNo
Authorized OfficialArdell C DanielsAssistant Executive Officer · (623) 848-0629
Enumeration DateDecember 7, 2009
✔ NPI 1306174115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in AZ · BH3284
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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.
8629 W ROANOKE AVE, Phoenix, AZ 85037
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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.

BOBBIE JAMESON
Counselor (Professional)
8629 W ROANOKE AVE
PHOENIX, AZ 85037
Maricopa County (623) 521-9140

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 Potters Place, LLC's NPI number?

The NPI number for Potters Place, LLC is 1306174115. It was assigned to this organization in the NPPES registry on December 7, 2009.

Where is Potters Place, LLC located?

Potters Place, LLC is located at 8629 W Roanoke Ave, Phoenix, AZ 85037. The listed phone number is (623) 848-0629.

What is Potters Place, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Potters Place, LLC was last updated on December 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.