Organization
XOLA BEHAVIORAL HEALTH AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS LASSITER (MANAGING DIRECTOR)
(480) 242-8539
Entity
Organization
Contact information
Practice address
637 W OCOTILLO ST, CASA GRANDE, AZ 85122-2210
(480) 242-8539
Mailing address
637 W OCOTILLO ST, CASA GRANDE, AZ 85122-2210
(480) 242-8539
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
103TP0016X
Prescribing (Medical) Psychologist
—
—
171400000X
Health & Wellness Coach
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
—
—
364SP0810X
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
06/16/2025
Last updated
06/17/2025
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