Provider Demographics
NPI:1821088956
Name:ARROWHEAD BEHAVIORAL HEALTH
Entity Type:Organization
Organization Name:ARROWHEAD BEHAVIORAL HEALTH
Other - Org Name:LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:E
Authorized Official - Last Name:GILLESPIE
Authorized Official - Suffix:
Authorized Official - Credentials:NCP LPC
Authorized Official - Phone:623-876-1246
Mailing Address - Street 1:9865 W BELL RD
Mailing Address - Street 2:
Mailing Address - City:SUN CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85351-1344
Mailing Address - Country:US
Mailing Address - Phone:623-876-1246
Mailing Address - Fax:623-933-5463
Practice Address - Street 1:9865 W BELL RD
Practice Address - Street 2:
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351-1344
Practice Address - Country:US
Practice Address - Phone:623-876-1246
Practice Address - Fax:623-933-5463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty