Organization
LIV WELL BEHAVIORAL
Active
Parent organization
LIV WELL BEHAVIORAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIV WELL BEHAVIORAL
Authorized official
MR. DANIEL GONZALEZ (CHIEF EXECUTIVE OFFICER)
(480) 522-4268
Entity
Organization
Contact information
Practice address
2150 S COUNTRY CLUB DR STE 27, MESA, AZ 85210-6860
(602) 856-6535
Mailing address
2150 S COUNTRY CLUB DR STE 27, MESA, AZ 85210-6860
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180933
—
AZ
01
—
BH9812
ADHS
AZ
Enumeration date
04/15/2024
Last updated
09/22/2025
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