Organization
BANNER TELEHEALTH LLC
Active
Parent organization
BANNER HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANNER HEALTH
Authorized official
TODD WERNER (DIVISION PRESIDENT)
(602) 474-4000
Entity
Organization
Contact information
Practice address
7575 E EARLL DR STE 101, SCOTTSDALE, AZ 85251-6915
(480) 684-8345
(480) 412-5477
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
03/03/2022
Last updated
09/02/2025
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