SHALOM INTEGRATED BEHAVIORAL CLINIC LLC
NPI 1922728088
Clinic/Center - Mental Health (Including Community Mental Health Center) in Mesa, AZ

Active since August 30, 2022
540 W IRON AVE STE 201-204, MESA, AZ 85210(520) 304-8856(480) 582-6043 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shalom Integrated Behavioral Clinic Llc NPPES

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

SHALOM INTEGRATED BEHAVIORAL CLINIC LLC (NPI 1922728088) is a healthcare organization registered as a mental health (including community mental health center) in Mesa, Arizona and active in the NPI registry since August 2022. The organization lists George Barielup Nyone, Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1922728088
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameSHALOM INTEGRATED BEHAVIORAL CLINIC LLC
Location Address540 W IRON AVE STE 201-204Mesa, AZ 85210-6025
Mailing Address540 W Iron Ave Ste 201-204Mesa, AZ 85210-6025 · (520) 304-8856 · Fax (480) 582-6043
Fax(480) 582-6043
Organization SubpartNo
Authorized OfficialGeorge Barielup NyoneAdministrative Officer · (520) 304-8856
Enumeration DateAugust 30, 2022
NPPES CertifiedAugust 30, 2022
NPI 1922728088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
540 W IRON AVE STE 201-204, Mesa, AZ 85210

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922728088, enumerated as an "organization" on August 30, 2022.

The provider is located at 540 W IRON AVE STE 201-204 MESA, AZ 85210 and the phone number is (520) 304-8856.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).