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PROVIDENCE BEHAVIORAL HEALTH LLC
NPI 1700527637
Community Based Residential Treatment Facility, Mental Illness in Tolleson, AZ

Active since April 05, 2022
8714 W PIONEER ST, TOLLESON, AZ 85353(602) 628-2266 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Providence Behavioral Health Llc NPPES

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

PROVIDENCE BEHAVIORAL HEALTH LLC (NPI 1700527637) is a healthcare organization registered as a community based residential treatment facility, mental illness in Tolleson, Arizona and active in the NPI registry since April 2022. The organization lists Funmilola Elizabeth-tosin Ogunla, Director, as its authorized official.

NPPES Registry Identity

NPI1700527637
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NamePROVIDENCE BEHAVIORAL HEALTH LLC
Location Address8714 W PIONEER STTolleson, AZ 85353-8618
Mailing Address8714 W Pioneer StTolleson, AZ 85353-8618 · (602) 628-2266
Phone(602) 628-2266
Organization SubpartNo
Authorized OfficialFunmilola Elizabeth-tosin OgunlaDirector · (602) 628-2266
Enumeration DateApril 5, 2022
NPPES CertifiedApril 5, 2022
✔ NPI 1700527637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
8714 W PIONEER ST, Tolleson, AZ 85353
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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 Providence Behavioral Health LLC's NPI number?

The NPI number for Providence Behavioral Health LLC is 1700527637. It was assigned to this organization in the NPPES registry on April 5, 2022.

Where is Providence Behavioral Health LLC located?

Providence Behavioral Health LLC is located at 8714 W Pioneer St, Tolleson, AZ 85353. The listed phone number is (602) 628-2266.

What is Providence Behavioral Health LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Providence Behavioral Health LLC was last updated on April 5, 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.