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Organization

B2B BEHAVIORAL HEALTH SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GLEN MAYBERRY (OWNER)
(480) 203-3519
Entity
Organization

Contact information

Practice address
2045 S. VINEYARD BLDG 1E, SUITE 115, MESA, AZ 85210
(480) 935-3449
Mailing address
2045 S VINEYARD, BLDG 1E, SUITE 115, MESA, AZ 85210-4512
(480) 203-3519

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
145175
AZ
Enumeration date
05/18/2022
Last updated
03/30/2023
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