Organization
SOUTHWEST NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY B. HENNING (CEO)
(602) 285-4340
Entity
Organization
Contact information
Practice address
120 N 44TH ST STE 400, PHOENIX, AZ 85034-1822
(602) 304-0014
(602) 304-0190
Mailing address
2700 N CENTRAL AVE, SUITE 1050, PHOENIX, AZ 85004-1133
(602) 266-8402
(602) 264-0887
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
OTC6258
AZ
251S00000X
Community/Behavioral Health Agency
Primary
OTC6258
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
545246
—
AZ
01
—
Z127516
MEDICARE PTAN
AZ
Enumeration date
07/04/2006
Last updated
01/29/2026
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