Provider Demographics
NPI:1417642273
Name:ABOVE BEYOND BEHAVIORAL HEALTH SERVICES
Entity Type:Organization
Organization Name:ABOVE BEYOND BEHAVIORAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:PATIENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:KATUSHABE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-252-9249
Mailing Address - Street 1:8415 S 67TH DR
Mailing Address - Street 2:
Mailing Address - City:LAVEEN
Mailing Address - State:AZ
Mailing Address - Zip Code:85339-5709
Mailing Address - Country:US
Mailing Address - Phone:747-252-9249
Mailing Address - Fax:
Practice Address - Street 1:690 E WARNER RD
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85296-3054
Practice Address - Country:US
Practice Address - Phone:747-252-9249
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-07
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health