RODTREE BEHAVIORAL HEALTH NPI 1063110732

NPI Information

NPI: 1063110732
Provider Name: RODTREE BEHAVIORAL HEALTH
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
726A E MONROE AVE
BUCKEYE, AZ
ZIP 85326
Phone: (602) 690-1643
Get Directions

RODTREE BEHAVIORAL HEALTH is a mental health counselor in Buckeye, AZ. RODTREE BEHAVIORAL HEALTH NPI is 1063110732. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

726A E MONROE AVE
BUCKEYE, AZ
ZIP 85326-908
Phone: (602) 690-1643

The provider's authorized official is Rodney Lacerial Pearson .
The authorized official title is Ceo and has the following contact phone number (602) 690-1643.

The enumeration date for this NPI number is 2/21/2023 and was last updated on 3/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
2	101YP2500X	Counselor	Professional	No
3	101YM0800X	Counselor	Mental Health	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	162431	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »