| Smith Behavioral Health, P.C. | |
|
225 W 1st St Unit 120 Mesa AZ 85201-6554 | |
| (602) 743-8157 | |
| Not Available |
| Full Name | Smith Behavioral Health, P.C. |
|---|---|
| Speciality | Behavior Technician |
| Location | 225 W 1st St Unit 120, Mesa, Arizona |
| Authorized Official Name and Position | Mark Ivan Smith (PRESIDENT) |
| Authorized Official Contact | 6027438157 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smith Behavioral Health, P.C. 225 W 1st St Unit 120 Mesa AZ 85201-6554 Ph: (602) 743-8157 | Smith Behavioral Health, P.C. 225 W 1st St Unit 120 Mesa AZ 85201-6554 Ph: (602) 743-8157 |
| NPI Number | 1326511593 |
|---|---|
| Provider Enumeration Date | 01/09/2019 |
| Last Update Date | 01/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326511593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | () | Secondary |
| 106S00000X | Behavior Technician | () | Primary |
| 251B00000X | Case Management | () | Secondary |
| 251S00000X | Community/behavioral Health | () | Secondary |
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