| Majestic Behavioral Health Llc | |
|
2720 E Thomas Rd Ste 150c Phoenix AZ 85016-8237 | |
| (323) 251-7313 | |
| (800) 641-3460 |
| Full Name | Majestic Behavioral Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2720 E Thomas Rd Ste 150c, Phoenix, Arizona |
| Authorized Official Name and Position | Mohammed Kakooza (OPERATING MEMBER) |
| Authorized Official Contact | 3232517313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Majestic Behavioral Health Llc 3425 E Grant Rd Ste 200 Tucson AZ 85716-2840 Ph: (323) 251-7313 | Majestic Behavioral Health Llc 2720 E Thomas Rd Ste 150c Phoenix AZ 85016-8237 Ph: (323) 251-7313 |
| NPI Number | 1285405340 |
|---|---|
| Provider Enumeration Date | 01/09/2024 |
| Last Update Date | 03/12/2025 |
| Certification Date | 03/12/2025 |
| Medicare PECOS PAC ID | 9638613722 |
|---|---|
| Medicare Enrollment ID | O20240701000537 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285405340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Latriece Session |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326773342 PECOS PAC ID: 2365812682 Enrollment ID: I20230821003810 |
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