| Gibson Lane Behavioral Health Care Llc | |
|
7725 N 43rd Ave Bldg 5 Phoenix AZ 85051-5770 | |
| (312) 599-8267 | |
| Not Available |
| Full Name | Gibson Lane Behavioral Health Care Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7725 N 43rd Ave Bldg 5, Phoenix, Arizona |
| Authorized Official Name and Position | Lissa Sebatu (OWNER) |
| Authorized Official Contact | 3125998267 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gibson Lane Behavioral Health Care Llc 7725 N 43rd Ave Bldg 5 Phoenix AZ 85051-5770 Ph: () - | Gibson Lane Behavioral Health Care Llc 7725 N 43rd Ave Bldg 5 Phoenix AZ 85051-5770 Ph: (312) 599-8267 |
| NPI Number | 1750024519 |
|---|---|
| Provider Enumeration Date | 04/19/2022 |
| Last Update Date | 04/19/2022 |
| Certification Date | 04/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750024519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Amra Stafford, Psyd, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 67 E Weldon Ave, Suite 320, Phoenix, AZ 85012 Phone: 602-456-7565 Fax: 602-266-0234 | |
Pro Iom Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 Phone: 602-482-2282 | |
Liberty Care Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8111 N 19th Ave Apt 2038, Phoenix, AZ 85021 Phone: 602-367-7916 | |
Insight-therapy Az Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4545 E Shea Blvd Ste 235, Phoenix, AZ 85028 Phone: 602-315-4068 Fax: 602-675-2705 | |
White Tiger Integrated Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 67 E Weldon Ave Ste 220, Phoenix, AZ 85012 Phone: 603-637-7361 | |
Eden Recovery Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2538 E University Dr Ste 180, Phoenix, AZ 85034 Phone: 480-390-3375 | |
Native Country Healthcare Systems Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4805 W Thomas Rd, Phoenix, AZ 85031 Phone: 602-706-8741 |