DOUGLAS INTEGRATED COUNSELING CLINIC - NPI 1578033809 - Community/Behavioral Health in Douglas, AZ

Q: What is South Eastern Arizona Behavioral Health Services, Inc.'s specialty?

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

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About Douglas Integrated Counseling Clinic NPPES

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

DOUGLAS INTEGRATED COUNSELING CLINIC (NPI 1578033809) is a healthcare organization registered as a community/behavioral health in Douglas, Arizona and active in the NPI registry since November 2018. The organization lists Estella Hernandez, Contracts & Credentialing Admin, as its authorized official.

NPPES Registry Identity

NPI1578033809

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameSOUTH EASTERN ARIZONA BEHAVIORAL HEALTH SERVICES, INC.

Location Address1100 N F AVEDouglas, AZ 85607-1919

Mailing Address611 W Union StBenson, AZ 85602-6718 · (520) 586-0800 · Fax (520) 586-0855

Phone(520) 364-3630

Fax(520) 586-6104

Organization SubpartNo

Authorized OfficialEstella HernandezContracts & Credentialing Admin · (520) 838-5513

Enumeration DateNovember 29, 2018

Last NPPES UpdateJune 10, 20222 updates tracked since enumeration

NPPES CertifiedJune 10, 2022

✔ NPI 1578033809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

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.

1100 N F AVE, Douglas, AZ 85607

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Other Names 1

Doing Business AsDouglas Integrated Counseling Clinic

Other Identifiers 2

Medicaid478436AZ

OtherOTC-9263AZ · Adhs Licensing

Other Providers at the Same Location NPPES 13

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

JAZMINE AGLAE MORALES LMSW

Social Worker