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Organization
SKYREACH BEHAVIORAL HEALTH LLC
Active
Organization
SKYREACH BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL OMAR FERNANDEZ (ADMINISTRATOR)
(602) 314-4745
Entity
Organization
Contact information
Practice address
6811 E THOMAS RD, SCOTTSDALE, AZ 85251-6826
(602) 314-4745
Mailing address
6811 E THOMAS RD, SCOTTSDALE, AZ 85251-6826
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
—
—
106S00000X
Behavior Technician
—
—
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
08/03/2023
Last updated
07/22/2025
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