| Peaks Youth Behavioral Health Center, LLC | |
|
642 Dameron Dr Ste B Prescott AZ 86301-2411 | |
| (928) 533-2816 | |
| Not Available |
| Full Name | Peaks Youth Behavioral Health Center, LLC |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 642 Dameron Dr Ste B, Prescott, Arizona |
| Authorized Official Name and Position | Makenzie Stidham (CEO) |
| Authorized Official Contact | 9288486941 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peaks Youth Behavioral Health Center, LLC 642 Dameron Dr Ste B Prescott AZ 86301-2411 Ph: (928) 533-2816 | Peaks Youth Behavioral Health Center, LLC 642 Dameron Dr Ste B Prescott AZ 86301-2411 Ph: (928) 533-2816 |
| NPI Number | 1255253480 |
|---|---|
| Provider Enumeration Date | 07/28/2026 |
| Last Update Date | 09/05/2026 |
| Certification Date | 09/05/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255253480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Primary |
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