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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PHOENIX STAR BEHAVIORAL HEALTHCARE LLC

Active Organization

PHOENIX STAR BEHAVIORAL HEALTHCARE LLC is a 3104A0630X organization located in SAN TAN VALLEY, Arizona. NPI 1164221115 is currently active in the NPPES registry. Verify at CMS.

3104A0630X · SAN TAN VALLEY, AZ

Registration Details

NPI Number
1164221115
Provider Type
Organization
NPI Issued
Mar 12, 2025 (1.403510925862 yrs)
Last Updated
Dec 19, 2025

Practice Information

Address
407 W TAMARACK DR
SAN TAN VALLEY, AZ, 851407073
Browse AZ providers · Browse ZIP 85140
Phone
4802021674
Primary Specialty
3104A0630X
3104A0630X

Other 3104A0630X Organizations in SAN TAN VALLEY, AZ

Name NPI
PROVIDENCE BHF LLC 1912692492
WELLSSPRING LLC 1982488482
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.