Little Colorado Behavioral Health Center Inc.

LBN: Little Colorado Behavioral Health Center Inc.
Little Colorado Behavioral Health Center Inc. is an health care organization with primary practice located at 470 W Cleveland , Saint Johns AZ 85936-0579. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as the primary health care specialty. Little Colorado Behavioral Health Center Inc. can be contacted via phone (928) 337-4301, or through Poche, Rodney Scott via phone (928) 333-2683.

Contact Information

Primary practice address
470 W Cleveland Saint Johns AZ 85936-0579
Phone: (928) 337-4301
Fax: (928) 337-2269
Website:
Map and Directions
Authorized official contact:
Name: Poche, Rodney Scott LMFT
Phone: (928) 333-2683

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LCSW-2810 Arizona

Profile Details

NPI number 1134292485
LBN Legal business name Little Colorado Behavioral Health Center Inc.
DBA Doing business as
Authorized official Poche, Rodney Scott LMFT
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2006
Last updated Dec 5th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134292485 NPPES
Arizona MEDICAID 919053
Arizona MEDICAID 919087
Arizona MEDICAID 869381
Arizona MEDICAID 821258
Arizona MEDICAID 739138

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