Provider Demographics
NPI:1750950432
Name:LITTLE KNIGHTS BHF, LLC
Entity type:Organization
Organization Name:LITTLE KNIGHTS BHF, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:RENATA
Authorized Official - Middle Name:
Authorized Official - Last Name:INIGO
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:520-904-5273
Mailing Address - Street 1:8900 E 35TH CIR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85710-7927
Mailing Address - Country:US
Mailing Address - Phone:520-904-5273
Mailing Address - Fax:
Practice Address - Street 1:731 W NEVADA ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85706-1255
Practice Address - Country:US
Practice Address - Phone:520-904-5273
Practice Address - Fax:833-806-7758
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ENCANTADA COUNSELING SERVICES PLLC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-06-17
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ284538Medicaid