Olive Branch Behavioral Residencial Network, Llc is a Behavioral Neurology & Neuropsychiatry Clinic in Phoenix, Arizona. It is located at 2421 E Robert E Lee St, Phoenix, AZ and its contact number is 602-569-0806. The authorized person for Olive Branch Behavioral Residencial Network, Llc is Ms. Tracy Barshell Ketchum
who is Cao,administrator of the clinic and his/her contact number is 708-277-8673. Olive Branch Behavioral Residencial Network, Llc Clinic has a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues.
Complete Clinic Profile:
Olive Branch Behavioral Residencial Network, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Olive Branch Behavioral Residencial Network, Llc
Specialization:
Behavioral Neurology & Neuropsychiatry
Clinic Address:
2421 E Robert E Lee St, Phoenix, Arizona, 85032-1082
Phone:
602-569-0806
Fax:
602-569-0537
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Ms. Tracy Barshell Ketchum
Position:
Cao,administrator
Contact Number:
708-277-8673
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Olive Branch Behavioral Residencial Network, Llc clinic are as mentioned below.
NPI Number:
1215574496
NPI Enumeration Date:
05 Dec, 2019
NPI Last Update On:
05 Dec, 2019
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Olive Branch Behavioral Residencial Network, Llc are as mentioned below.
Specialization
License Number
State
Status
Behavioral Neurology & Neuropsychiatry
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1028196670
Other
Arizona
Behavioral Health
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Patients can reach Olive Branch Behavioral Residencial Network, Llc at 2421 E Robert E Lee St, Phoenix, Arizona or can call to book an appointment on 602-569-0806. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.