Olive Branch Behavioral Residencial Network, Llc
Behavioral Neurology & Neuropsychiatry Clinic
2421 E Robert E Lee St, Phoenix
Arizona, 85032-1082
602-569-0806 602-569-0537
Maps & DirectionsOlive 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.
| Address: | Olive Branch Behavioral Residencial Network, Llc
15712 W Eucalyptus Ct,
Surprise, Arizona |
| Zip: | 85374-3308 |
| Phone Number: | 708-277-8673 |
| Fax Number: | -- |
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.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.