Civara Behavioral Health LLC
Community/Behavioral Health

Address: 4010 W Cactus Rd, Phoenix, AZ 85029-2905
Phone: 4803299585

Civara Behavioral Health LLC (NPI# 1013524230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1013524230
Entity Type Organization
Organization Name CIVARA BEHAVIORAL HEALTH LLC
Practice Address 4010 W Cactus Rd
Phoenix
AZ 85029-2905
Practice Telephone 4803299585
Practice Fax Number 6022375211
Mailing Address 7020 E Moreland St
Scottsdale
AZ 85257-3318
Mailing Telephone 4803299585
Mailing Fax Number 6022375211
Authorized Official Name Vittelian Forbes (OWNER)
Authorized Official Telephone 4803299585
Authorized Official Credential PHARMD
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-10-01
Last Update Date 2020-10-01

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 251S00000X Community/Behavioral Health Agencies

Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

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Office Location

Street Address 4010 W CACTUS RD
City PHOENIX
State AZ
Zip Code 85029-2905

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477995900 Vema Corporation Community Based Residential Treatment Facility, Mental Illness 4010 W Cactus Rd, Phoenix, AZ 85029-2905 2013-07-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508406745 Tailored 2 U Psychiatry, Pllc Nurse Practitioner 4150 W Peoria Avenue, Suite 116, Phoenix, AZ 85029 2020-01-15
1770125403 Desert Gem Assisted Living Facility, LLC Custodial Care Facility 3236 W. Eugie Avenue, Phoenix, AZ 85029 2019-10-15
1588128623 Anna Debbs Counselor 11221 North 28th Drive, Bldg E, Phoenix, AZ 85029 2019-01-23
1609360007 Melissa Lynn Denton Specialist/Technologist 4014 W Paradise Dr, Phoenix, AZ 85029 2018-06-19
1275038713 Jamilah Amirah Behavior Analyst 11024 N 28th Dr Ste 110, Phoenix, AZ 85029 2018-03-27
1639687056 Empower Home Care, LLC. Home Health 11225 N 28th Drive, Suite D115e, Phoenix, AZ 85029 2018-01-19
1467975698 Samantha June Collett Nurse Practitioner 3201 W Peoria Ave Ste 804, Phoenix, AZ 85029 2017-07-19
1073966347 Meka Joi Green Social Worker 11225 M 28th Dr, Suite C210, Phoenix, AZ 85029 2016-07-21
1851777643 Total Wellness Acupuncture LLC Acupuncturist 3201 W. Peoria Ave, Suite # C-607, Phoenix, AZ 85029 2015-08-04
1851792808 Grand Canyon Home Healthcare, Inc. Home Health 13201 N. 35th Ave, Suite B16, Phoenix, AZ 85029 2014-09-09
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Competitor

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City PHOENIX
Zip Code 85029

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.