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Beyond Blue Health Services LLC — NPI 1205415957, Phoenix, AZ | NPI Central

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NPI 1205415957

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Beyond Blue Health Services LLC

NPI 1205415957 · Comprehensive Outpatient Rehabilitation Facility (CORF) · Phoenix, AZ

Provider details

NPI number: 1205415957
Entity type: Organization
Primary specialty: Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities
Organization subpart: No
Authorized official: Keona Scott, Owner(702) 689-8658

Specialties & taxonomies

Comprehensive Outpatient Rehabilitation Facility (CORF)Primary261QR0401X
Ambulatory Health Care Facilities
Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Case Management Agency251B00000X
Agencies
Developmentally Disabled Services Day Training Agency251C00000X
Agencies
Community/Behavioral Health Agency251S00000X
Agencies
Early Intervention Provider Agency252Y00000X
Agencies
Developmental Disabilities Clinic/Center261QD1600X

Practice location

7550 N 19th Ave Ste 104

Phoenix, AZ 85021-7982

Phone: (602) 946-4120

Approximate (ZIP-level) locationGet directions

More AZ providers

Mailing address

7550 N 19th Ave Ste 104

Phoenix, AZ 85021-7982

Other names (DBA / former)

Former legal business name: Beyond Blue Health Services LLC
Former legal business name: Beyond Blue Health Services LLC

Additional practice locations (1)

5060 N 19th Ave Ste 308
Phoenix, AZ 85015-3213
Phone: (702) 689-8658

Registry dates

Enumerated: 2021-04-07
Last updated: 2022-05-04
Certified: 2022-05-04

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Ambulatory Health Care Facilities

Adult Mental Health Clinic/Center261QM0850X

Ambulatory Health Care Facilities

Adolescent and Children Mental Health Clinic/Center261QM0855X

Ambulatory Health Care Facilities