Provider Demographics
NPI:1760656490
Name:BEHAVIORAL HEALTH BENEFITS ADMINISTRATORS INC
Entity Type:Organization
Organization Name:BEHAVIORAL HEALTH BENEFITS ADMINISTRATORS INC
Other - Org Name:DESERT PATHWAYS COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:CAPUTA
Authorized Official - Suffix:III
Authorized Official - Credentials:LCSW
Authorized Official - Phone:602-672-7765
Mailing Address - Street 1:PO BOX 44587
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85064-4587
Mailing Address - Country:US
Mailing Address - Phone:602-672-7765
Mailing Address - Fax:602-595-9123
Practice Address - Street 1:201 E LEXINGTON AVENUE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85012-2321
Practice Address - Country:US
Practice Address - Phone:602-672-7765
Practice Address - Fax:602-595-9123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-14
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW1701101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty