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Alliance Behavioral Health Integrated PLLC

Nurse Practitioner, Psych/Mental Health in Surprise, AZ. Organization (NPI-2).

NPI number1326852385
StatusActive
Last updated in NPPESJun 9, 2025

Details

NPI
1326852385
Entity type
Organization (NPI-2)
Legal business name
Alliance Behavioral Health Integrated PLLC
Organization subpart
No
Enumeration date
Feb 1, 2025
Certification date
Jun 9, 2025
Last updated
Jun 9, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0808X Nurse Practitioner, Psych/Mental Health––Yes
363LP2300X Nurse Practitioner, Primary Care––
208VP0000X ––
261QI0500X Clinic/Center, Infusion Therapy––

Other names

  • Alliance Behavioral Health Integrated PLLC (Former Legal Business Name)

Practice location

12801 W Bell Rd Ste 141-145
Surprise, AZ 85378-9797

Phone 623-401-2882 · Fax 623-401-2889

Mailing address

12801 W Bell Rd Ste 141-145
Surprise, AZ 85378-9797

Phone 602-721-9960

Authorized official

Hortense Noble
Member
6234012882

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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