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Active Integrated Health — NPI 1366112609, El Mirage, AZ | NPI Central

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NPI 1366112609

OrganizationActive

Active Integrated Health

NPI 1366112609 · Mental Health Clinic/Center (Including Community Mental Health Center) · El Mirage, AZ

Provider details

NPI number: 1366112609
Entity type: Organization
Primary specialty: Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
Organization subpart: No
Authorized official: Bryce Bellue, Part Owner(623) 505-8198

Specialties & taxonomies

Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801X
Ambulatory Health Care Facilities

Practice location

12402 W Soledad St

El Mirage, AZ 85335-7244

Phone: (623) 262-8239

Approximate (ZIP-level) locationGet directions

More AZ providers

Mailing address

12402 W Soledad St

El Mirage, AZ 85335-7244

Additional practice locations (2)

13007 N 55th Dr
Glendale, AZ 85304-1224
Phone: (623) 313-3206
13307 W Gelding Dr
Surprise, AZ 85379-6488
Phone: (623) 505-8198

Registry dates

Enumerated: 2021-09-17
Last updated: 2021-09-17
Certified: 2021-09-15

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