Organization
LIV WELL BEHAVIORAL
Active
Parent organization
LIV WELL BEHAVIORAL
Other names
LWB Holly House
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
8315 E HOLLY ST, SCOTTSDALE, AZ 85257-2823
(602) 856-6535
(480) 618-4133
Mailing address
900 E PECOS RD STE 8, CHANDLER, AZ 85225-2400
(602) 856-6535
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170926
—
AZ
01
—
BH10366
ADHS
AZ
Enumeration date
11/11/2024
Last updated
09/22/2025
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