# KM SOBER LIVING HOMES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457064693
- **Authorized official:** KATE EBEA (ADMINISTRATOR)
- **Authorized official phone:** (480) 270-1418

## Contact information

- **Practice address:** 3850 E BASELINE RD STE 110, MESA, AZ 85206-4403
- **Practice address phone:** (480) 687-7014
- **Practice address fax:** (480) 687-7845
- **Mailing address:** 3850 E BASELINE RD STE 110, MESA, AZ 85206-4403
- **Mailing address phone:** (480) 687-7014
- **Mailing address fax:** (480) 687-7845

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 01/03/2023
- **Last updated:** 03/03/2026
