Organization
LIGHT CENTER BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE MARIE NTIRANYIBAGIRA (PARTNER)
(520) 445-5832
Entity
Organization
Contact information
Practice address
6619 N 19TH AVE # C1, PHOENIX, AZ 85015-1631
(520) 445-5832
Mailing address
6619 N 19TH AVE # C1, PHOENIX, AZ 85015-1631
(520) 445-5832
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BH8241
—
AZ
Enumeration date
12/14/2022
Last updated
12/14/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us