Provider Demographics
NPI:1356005144
Name:THE BBSP INC
Entity type:Organization
Organization Name:THE BBSP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:CANTELME
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:602-413-7893
Mailing Address - Street 1:11814 W PATRICK LN
Mailing Address - Street 2:
Mailing Address - City:SUN CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85373-5440
Mailing Address - Country:US
Mailing Address - Phone:623-850-0474
Mailing Address - Fax:
Practice Address - Street 1:2806 W CACTUS RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85029-3364
Practice Address - Country:US
Practice Address - Phone:623-850-0474
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-27
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health