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).
| 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 |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4915 W Lynne Ln, Laveen, AZ 853394240 | 7792481040 |
| Street Address | 2444 W BLOCH RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85041-2930 |
| 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 |
| 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 Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| 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] |
| 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 | ||||
| City | PHOENIX |
| Zip Code | 85041 |
| 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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| 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.