| Rodtree Behavioral Health Llc | |
|
726a E Monroe Ave Buckeye AZ 85326-2908 | |
| (602) 690-1643 | |
| Not Available |
| Full Name | Rodtree Behavioral Health Llc |
|---|---|
| Speciality | Counselor |
| Location | 726a E Monroe Ave, Buckeye, Arizona |
| Authorized Official Name and Position | Rodney Lacerial Pearson (CEO) |
| Authorized Official Contact | 6026901643 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rodtree Behavioral Health Llc 14324 W Desert Flower Dr Goodyear AZ 85395-7518 Ph: (602) 690-1643 | Rodtree Behavioral Health Llc 726a E Monroe Ave Buckeye AZ 85326-2908 Ph: (602) 690-1643 |
| NPI Number | 1063110732 |
|---|---|
| Provider Enumeration Date | 02/21/2023 |
| Last Update Date | 04/23/2025 |
| Certification Date | 04/23/2025 |
| Medicare PECOS PAC ID | 9032629969 |
|---|---|
| Medicare Enrollment ID | O20250610002462 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063110732 | NPI | - | NPPES |
| 162431 | Medicaid | AZ |
| Provider Name | Rodney Pearson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467962811 PECOS PAC ID: 8123559937 Enrollment ID: I20250610002827 |
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