LIGHT CENTER BEHAVIORAL HEALTH LLC
NPI 1700598489
Clinic/Center - Adult Mental Health in Phoenix, AZ

Active since December 14, 2022
6619 N 19TH AVE # C1, PHOENIX, AZ 85015(520) 445-5832 Get Directions Write a Review

NPPES record last updated: December 14, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Light Center Behavioral Health Llc NPPES

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

LIGHT CENTER BEHAVIORAL HEALTH LLC (NPI 1700598489) is a healthcare organization registered as an adult mental health in Phoenix, Arizona and active in the NPI registry since December 2022. The organization lists Anne Marie Ntiranyibagira, Partner, as its authorized official.

NPPES Registry Identity

NPI1700598489
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameLIGHT CENTER BEHAVIORAL HEALTH LLC
Location Address6619 N 19TH AVE # C1Phoenix, AZ 85015-1631
Mailing Address6619 N 19th Ave # C1Phoenix, AZ 85015-1631 · (520) 445-5832
Organization SubpartNo
Authorized OfficialAnne Marie NtiranyibagiraPartner · (520) 445-5832
Enumeration DateDecember 14, 2022
NPPES CertifiedDecember 14, 2022
NPI 1700598489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
6619 N 19TH AVE # C1, Phoenix, AZ 85015

Other Identifiers 1

MedicaidBH8241AZ

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700598489, enumerated as an "organization" on December 14, 2022.

The provider is located at 6619 N 19TH AVE # C1 PHOENIX, AZ 85015 and the phone number is (520) 445-5832.

Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.