TERRESHA Y PETEN
Counselor (Mental Health)

Address: 2444 W Bloch Rd, Phoenix, AZ 85041-2930

TERRESHA Y PETEN (NPI# 1053902254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053902254
Entity Type Individual
Full Name MISS TERRESHA Y PETEN
Gender Female
Practice Address 2444 W Bloch Rd
Phoenix
AZ 85041-2930
Practice Telephone 7792481040
Mailing Address 4915 W Lynne Ln
Laveen
AZ 85339-4240
Mailing Telephone 7792481040
Certification Date 2021-01-06
Enumeration Date 2021-01-30
Last Update Date 2021-01-30
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
Y 251S00000X Community/Behavioral Health Agencies

Provider Secondary Practice Locations

Address Telephone Number Fax Number
4915 W Lynne Ln, Laveen, AZ 853394240 7792481040

Office Location

Street Address 2444 W BLOCH RD
City PHOENIX
State AZ
Zip Code 85041-2930

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871184077 All Minds Crave Success LLC Community/Behavioral Health 2444 W Bloch Rd, Phoenix, AZ 85041-2930 2021-01-30

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1306437553 Laveen Sunsets Residential Homes LLC Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 3001 W Donner Dr, Phoenix, AZ 85041 2021-01-31
1558915843 Our Home of Unity LLC Counselor · Addiction (Substance Use Disorder) 6804 S 21st Dr, Phoenix, AZ 85041 2019-07-25
1447816590 Mbong Jerry Ngwese Physical Therapist · Sports 2546 West Bloch Rd, Phoenix, AZ 85041 2019-05-14
1588228373 Arizona Dental Management Dentist · General Practice 3515 West Southern Avenue, Suite #152, Phoenix, AZ 85041 2019-04-26
1447780135 Mesa Dental Arizona LLC · Southern Dental Dentist 3320 W Southern Ave #111, Phoenix, AZ 85041 2017-06-14
1932564697 Job Elliott Counselor 4105 W Saint Charles Ave, Phoenix, AZ 85041 2015-12-23
1376914739 Black Family and Child Services Inc Community/Behavioral Health 6811 West 33rd Ave, Phoenix, AZ 85041 2015-10-12
1972900983 Love Living Life Assisted Living Facility 5737 S. 34th Ave, Phoenix, AZ 85041 2014-11-20
1891114641 Maricopa County Special Health Care District · Valleywise Health General Acute Care Hospital 5650 S 35th Ave, Phoenix, AZ 85041 2014-04-09
1265616213 Southern Dental Dentist 3320 W. Southern Avenue, Suite # 108, Phoenix, AZ 85041 2007-12-27
Find all providers in zip 85041

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578154084 A-Z Behavioral Health Outpatient Center 4045 W Bell Rd Apt 1008, Phoenix, AZ 85053-2735 2021-01-27
1770174294 Bemor LLC 1725 W Eva St, Phoenix, AZ 85021-2963 2021-01-27
1881283414 Apex Recovery Center LLC 15650 N Black Canyon Hwy Ste 245b, Phoenix, AZ 85053-4041 2021-01-18
1700472180 Coll Communityvservices LLC 4545 N 67th Ave Unit 1109, Phoenix, AZ 85033-1670 2020-12-18
1649875899 New Horizon Care, Inc. 2236 W Donner Dr, Phoenix, AZ 85041-6696 2020-12-03
1497350268 New Horizon Care, Inc. 1708 E Chanute Pass, Phoenix, AZ 85040-3358 2020-12-01
1124623905 New Horizon Care, Inc. 2232 W Donner Dr, Phoenix, AZ 85041-6696 2020-12-01
1952906786 New Horizon Care, Inc. 6521 S 4th St, Phoenix, AZ 85042-7606 2020-12-01
1114520194 Setting Foundations L.l.c 4150 W Peoria Ave Ste 217, Phoenix, AZ 85029-3965 2020-11-20
1528661584 Eagle House LLC 4027 S 96th Drive, Phoenix, AZ 85008-8500 2020-11-20
Find all providers in PHOENIX

Competitor

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City PHOENIX
Zip Code 85041

Similar providers

NPI Name Taxonomy Address Enumeration
1790849420 Anitra Peten Counselor · Mental Health 3355 Lenox Rd Ne, Atlanta, GA 30326-1394 2006-12-20
1851930531 Terresha Campbell Case Manager/Care Coordinator 1234 Ridgewood Dr, Bowling Green, OH 43402-2696 2019-12-30
1760978738 Terresha Dominique Oliver Chore Provider 1785 E Sahara Ave Ste 485, Las Vegas, NV 89104-3757 2018-07-02

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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.