Organization
GUTHRIE MAINSTREAM SERVICES LLC
Active
Organization
GUTHRIE MAINSTREAM SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERRY SUE GUTHRIE (C.E.O.)
(480) 633-8881
Entity
Organization
Contact information
Practice address
727 S EXTENSION RD, MESA, AZ 85210-2212
(480) 633-8881
(480) 633-7095
Mailing address
727 S EXTENSION RD, MESA, AZ 85210-2212
(480) 633-8881
(480) 633-7095
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
7933374
AZ
251E00000X
Home Health Agency
7933374
AZ
347C00000X
Private Vehicle
Primary
7933374
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7933374
AHCCCS PROVIDER ID
AZ
Enumeration date
05/14/2007
Last updated
09/11/2025
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