Provider Demographics
NPI:1659311926
Name:BEHAVIORAL HEALTH SOLUTIONS, P.C.
Entity Type:Organization
Organization Name:BEHAVIORAL HEALTH SOLUTIONS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:L
Authorized Official - Last Name:PERSHING
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:602-494-2363
Mailing Address - Street 1:3040 EAST CACTUSROAD
Mailing Address - Street 2:SUITE A
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-7196
Mailing Address - Country:US
Mailing Address - Phone:602-494-2363
Mailing Address - Fax:602-494-3131
Practice Address - Street 1:3040 EAST CACTUSROAD
Practice Address - Street 2:SUITE A
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-7196
Practice Address - Country:US
Practice Address - Phone:602-494-2363
Practice Address - Fax:602-494-3131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-O3131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty