OrganizationActive
Laveen Behavioral Health LLC
NPI 1922630664 · Mental Illness Community Based Residential Treatment Facility · Phoenix, AZ
Provider details
- NPI number
- 1922630664
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Mohamed Mohamed, Administrator(619) 817-1936
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6315 S 34th Dr
Phoenix, AZ 85041-5465
Phone: (619) 817-1936
Street-level locationGet directions
Mailing address
6315 S 34th Dr
Phoenix, AZ 85041-5465
Registry dates
- Enumerated
- 2020-02-11
- Last updated
- 2020-02-11
- Certified
- 2020-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.