Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

AVENUE TO HOPE LLC
NPI 1922925361
Clinic/Center - Mental Health (Including Community Mental Health Center) in Laveen, AZ

Active since July 06, 2026
4106 W BEVERLY RD, LAVEEN, AZ 85339(602) 750-0749 Get Directions Write a Review

NPPES record added: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Avenue To Hope Llc NPPES

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

AVENUE TO HOPE LLC (NPI 1922925361) is a healthcare organization registered as a mental health (including community mental health center) in Laveen, Arizona and active in the NPI registry since July 2026. The organization lists Shasa Lynn Jackson, Owner/managing Member, as its authorized official.

NPPES Registry Identity

NPI1922925361
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameAVENUE TO HOPE LLC
Location Address4106 W BEVERLY RDLaveen, AZ 85339-2534
Mailing Address4106 W Beverly RdLaveen, AZ 85339-2534 · (602) 750-0749
Organization SubpartNo
Authorized OfficialShasa Lynn JacksonOwner/managing Member · (602) 750-0749
Enumeration DateJuly 6, 2026
NPPES CertifiedJuly 5, 2026
NPI 1922925361 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
4106 W BEVERLY RD, Laveen, AZ 85339

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 Avenue To Hope LLC's NPI number?

The NPI number for Avenue To Hope LLC is 1922925361. It was assigned to this organization in the NPPES registry on July 6, 2026.

Where is Avenue To Hope LLC located?

Avenue To Hope LLC is located at 4106 W Beverly Rd, Laveen, AZ 85339. The listed phone number is (602) 750-0749.

What is Avenue To Hope LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Avenue To Hope LLC was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.