Provider Demographics
NPI:1225718489
Name:ESPERANZA MENTAL HEALTH OF ARIZONA
Entity Type:Organization
Organization Name:ESPERANZA MENTAL HEALTH OF ARIZONA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP-BC
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:602-853-4600
Mailing Address - Street 1:25852 W ST JAMES AVE
Mailing Address - Street 2:
Mailing Address - City:BUCKEYE
Mailing Address - State:AZ
Mailing Address - Zip Code:85326-2146
Mailing Address - Country:US
Mailing Address - Phone:602-703-0091
Mailing Address - Fax:
Practice Address - Street 1:25852 W ST JAMES AVE
Practice Address - Street 2:
Practice Address - City:BUCKEYE
Practice Address - State:AZ
Practice Address - Zip Code:85326-2146
Practice Address - Country:US
Practice Address - Phone:602-703-0091
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-24
Last Update Date:2024-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health