170
RecNo PIN County Code Provider Type/Specialty AHCCCS ID Last Name First Name Group or Facility Name Address Address 2 City County State Zip Telephone Contact Person 1 not avail 13 Habilitation Provider, Level II B/H Residence (non IMD), 114301 ZAHRA MUTWOL DBA BARAKA HOUSE 3740 W CARON ST PHOENIX Maricopa AZ 85051 6022498900 [email protected] 2 7845736 13 Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, 838526 Greene Karen Torry VIP MENTAL HEALTH AND LIFE COACHING 3001 W HEARN RD STE 100 PHOENIX Maricopa AZ 85053 6022988847 [email protected] 3 not avail 13 Non-Emergency Transportation, Habilitation Provider, 868995 CREATIVE INNERVISIONS LLC 4354 E ABRAHAM RD PHOENIX Maricopa AZ 85050 6028678582 [email protected] 4 4527811 13 Physician Assistant, Behavioral Health Outpatient Clinic, Licensed Independent Substance Abuse Counselor, 342717 COMMUNITY MEDICAL SERVICES 3825 N 24TH ST PHOENIX Maricopa AZ 85016 6022488886 [email protected] 5 9290492 13 Pharmacy, Laboratory, Physician, Physician Assistant, Nurse Practitioner, DO- Physician Osteopath, Behavioral Health Outpatient Clinic, 386568 CHOICES Network - Central 3003 N CENTRAL AVE STE 305 PHOENIX Maricopa AZ 85012 4803442000 [email protected] 6 not avail 13 Non-Emergency Transportation, 249302 NETCOR TRANSPORTS LLC PO BOX 14449 PHOENIX Maricopa AZ 85063 6232437245 [email protected] 7 9851516 13 Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, 308968 SAN TAN BEHAVIORAL HEALTH SERVICES LLC 2451 E BASELINE RD #430 GILBERT Maricopa AZ 85234 4805073644 [email protected] 8 5862027 13 Physician, 3757 Zenner Robert ROBERT G ZENNER MD 1830 S ALMA SCHOOL RD STE 134 MESA Maricopa AZ 85210 4804644431 [email protected] 9 7880072 13 Psychologist, 718843 KEVIN S OLIN PLLC 10423 E KNOWLES AVE MESA Maricopa AZ 85209 4809686007 [email protected] 10 not avail 13 Habilitation Provider, Level II B/H Residence (non IMD), Level III B/H Residential (non IMD), Level I Residential Treatment Center Non Secure (non-IMD), 445542 INSPIRATIONS GROUP HOME LLC 7113 S 7TH LN PHOENIX Maricopa AZ 85041 6027947695 [email protected] 11 7302824 13 Behavioral Health Outpatient Clinic, 093422 ARIZONA NEUROPSYCHOLOGICAL SERVICES 3115 S PRICE RD CHANDL ER Maricopa AZ 85248 6024063671 [email protected] 12 9042304 13 Nurse Practitioner, 963224 MILLER TIMOTHY TIMOTHY R MILLER NP 13624 W CAMINO DEL SOL 150 SUN CITY WEST Maricopa AZ 85375 6235849694 [email protected] 13 7901773 13 Licensed Professional Counselor, 804246 Chambers Pamela PAMELA CHAMBERS 9614 E. Windrose Dr. SCOTTS DALE Maricopa AZ 85260 4807030606 [email protected] 14 9405560 13 Nurse Practitioner, Behavioral Health Outpatient Clinic, 589781 NEW HORIZONS COUNSELING PO BOX 56339 PHOENIX Maricopa AZ 85079 6026856000 [email protected] 15 7266844 13 Psychologist, 910655 PARTING TON DEBORA H DEBORAH PARTINGTON PSYD 2331 East Osborn Road PHOENIX Maricopa AZ 85016 (602) 954- 9185 [email protected] 16 7737634 13 Physician, Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Crisis Service Provider, 840026 CRISIS PREP RECOVERY 3260 N HAYDEN RD STE 101 SCOTTS DALE Maricopa AZ 85251 6024065278 [email protected] 17 9319833 13 Physician, 915361 Charles Waldeck NEURO FOCUS CENTER LLC 1400 N GILBERT RD STE H GILBERT Maricopa AZ 85234 4806322301 [email protected] 18 9034050 13 Psychologist, 078601 Barry Philip PHILIP BARRY PHD 17626 N 57TH ST SCOTTS DALE Maricopa AZ 85254 6024705520 [email protected] 19 9366056 13 Habilitation Provider, Behavioral Health Outpatient Clinic, Licensed Marriage/Family Therapist, Licensed Professional Counselor, 798126 SEEK ARIZONA 1830 S ALMA SCHOOL RD STE 130 MESA Maricopa AZ 85210 4809020771 [email protected] GSA Behavioral Health Providers - Letter of Intent Offeror: Mercy Maricopa Integrated Care ADHS13-00002257 Section 6.1.b, Network Provider Listing 1 MAG-353-000001

0$* - portal.azoah.com … · 12 9042304 13 Nurse Practitioner, 963224 MILLER TIMOTHY TIMOTHY R MILLER NP 13624 W CAMINO DEL SOL 150 SUN CITY WEST Maricopa AZ 85375 6235849694 [email protected]

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RecNo PIN County Code Provider Type/Specialty AHCCCS ID Last

NameFirst

Name Group or Facility Name Address Address 2 City County State Zip Telephone Contact Person

1 not avail 13Habilitation Provider, Level II B/H Residence (non IMD),

114301 ZAHRA MUTWOL DBA BARAKA HOUSE 3740 W CARON ST PHOENIX Maricopa AZ 85051 6022498900 [email protected]

2 7845736 13

Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker,

838526 Greene Karen Torry

VIP MENTAL HEALTH AND LIFE COACHING 3001 W HEARN RD STE 100 PHOENIX Maricopa AZ 85053 6022988847 [email protected]

3 not avail 13Non-Emergency Transportation, Habilitation Provider,

868995 CREATIVE INNERVISIONS LLC 4354 E ABRAHAM RD PHOENIX Maricopa AZ 85050 6028678582 [email protected]

4 4527811 13

Physician Assistant, Behavioral Health Outpatient Clinic, Licensed Independent Substance Abuse Counselor,

342717 COMMUNITY MEDICAL SERVICES 3825 N 24TH ST PHOENIX Maricopa AZ 85016 6022488886 [email protected]

5 9290492 13

Pharmacy, Laboratory, Physician, Physician Assistant, Nurse Practitioner, DO- Physician Osteopath, Behavioral Health Outpatient Clinic,

386568 CHOICES Network - Central 3003 N CENTRAL AVE STE 305 PHOENIX Maricopa AZ 85012 4803442000 [email protected]

6 not avail 13 Non-Emergency Transportation, 249302 NETCOR TRANSPORTS LLC PO BOX 14449 PHOENIX Maricopa AZ 85063 6232437245 [email protected]

7 9851516 13Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic,

308968 SAN TAN BEHAVIORAL HEALTH SERVICES LLC 2451 E BASELINE RD #430 GILBERT Maricopa AZ 85234 4805073644 [email protected]

8 5862027 13 Physician, 3757 Zenner Robert ROBERT G ZENNER MD 1830 S ALMA SCHOOL RD STE 134 MESA Maricopa AZ 85210 4804644431 [email protected]

9 7880072 13 Psychologist, 718843 KEVIN S OLIN PLLC 10423 E KNOWLES AVE MESA Maricopa AZ 85209 4809686007 [email protected]

10 not avail 13

Habilitation Provider, Level II B/H Residence (non IMD), Level III B/H Residential (non IMD), Level I Residential Treatment Center Non Secure (non-IMD),

445542 INSPIRATIONS GROUP HOME LLC 7113 S 7TH LN PHOENIX Maricopa AZ 85041 6027947695 [email protected]

11 7302824 13 Behavioral Health Outpatient Clinic, 093422 ARIZONA NEUROPSYCHOLOGICAL

SERVICES 3115 S PRICE RD CHANDLER Maricopa AZ 85248 6024063671 [email protected]

12 9042304 13 Nurse Practitioner, 963224 MILLER TIMOTHY TIMOTHY R MILLER NP 13624 W CAMINO DEL SOL 150 SUN CITY WEST

Maricopa AZ 85375 6235849694 [email protected]

13 7901773 13 Licensed Professional Counselor, 804246 Chambers Pamela PAMELA CHAMBERS 9614 E. Windrose Dr. SCOTTS

DALE Maricopa AZ 85260 4807030606 [email protected]

14 9405560 13Nurse Practitioner, Behavioral Health Outpatient Clinic,

589781 NEW HORIZONS COUNSELING PO BOX 56339 PHOENIX Maricopa AZ 85079 6026856000 [email protected]

15 7266844 13 Psychologist, 910655 PARTINGTON

DEBORAH DEBORAH PARTINGTON PSYD 2331 East Osborn Road PHOENIX Maricopa AZ 85016 (602) 954-

9185 [email protected]

16 7737634 13

Physician, Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Crisis Service Provider,

840026 CRISIS PREP RECOVERY 3260 N HAYDEN RD STE 101 SCOTTSDALE Maricopa AZ 85251 6024065278 [email protected]

17 9319833 13 Physician, 915361 Charles Waldeck NEURO FOCUS CENTER LLC 1400 N GILBERT RD STE H GILBERT Maricopa AZ 85234 4806322301 [email protected]

18 9034050 13 Psychologist, 078601 Barry Philip PHILIP BARRY PHD 17626 N 57TH ST SCOTTSDALE Maricopa AZ 85254 6024705520 [email protected]

19 9366056 13

Habilitation Provider, Behavioral Health Outpatient Clinic, Licensed Marriage/Family Therapist, Licensed Professional Counselor,

798126 SEEK ARIZONA 1830 S ALMA SCHOOL RD STE 130 MESA Maricopa AZ 85210 4809020771 [email protected]

GSA

Behavioral Health Providers - Letter of Intent

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 1

MAG-353-000001

20 7311509 13 Licensed Clinical Social Worker, 581498 Emerson Judy JUDY EMERSON MSC LCSW

COUNSELING 1753 E BRDWAY RD STE 259 TEMPE Maricopa AZ 85282 4806009596 [email protected]

21 9174075 13 Licensed Professional Counselor, 202349 Montgom

ery Gabriella GABRIELLA MONTGOMERY LPC 7227 N 16TH ST STE 213 PHOENIX Maricopa AZ 85020 6025500591 [email protected]

22 6140330 13

Physician, Nurse Practitioner, Level I Psych. Hospital, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

500670 ST LUKES BEHAVIORAL HEALTH LP 1800 E VAN BUREN ST PHOENIX Maricopa AZ 85006 6022518484 [email protected]

23 7442601 13 Licensed Professional Counselor, 738883 Boorman David SUPERSTITION SPRINGS COUNSELING

CENTER 801 S POWER RD STE 209 MESA Maricopa AZ 85206 4805182289 [email protected]

24 7598312 13Behavioral Health Outpatient Clinic, Crisis Service Provider,

361869 EMPACT CRISIS (SUICIDE PREVENTION) 618 S. Madison Drive TEMPE Maricopa AZ 85281 4807841514 [email protected]

25 4427167 13

Behavioral Health Outpatient Clinic, Behavioral Health Therapeutic Home,

134685 ARIZONA'S CHILDREN ASSOCIATION 2833 N 3RD ST PHOENIX Maricopa AZ 85004 6022343733 [email protected]

110 4435535 13

Physician, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor

116865 JEWISH FAMILY AND CHILDRENS SERVICE, INC 4747 N 7TH ST STE 100 PHOENIX Maricopa AZ 85014 4808200825 [email protected]

113 4435537 13

Physician Assistant, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

792318 MARC CENTER OF MESA INC 924 N COUNTRY CLB DR MESA Maricopa AZ 85201 480-222-3250 [email protected]

116 7140122 13 Behavioral Health Outpatient Clinic, 357279 TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 602-732-

4950 [email protected]

117 7407117 13

Behavioral Health Outpatient Clinic, Level I Residential treatment Center Non Secure (IMD),

598047 THE NEW FOUNDATION 1200 N 77TH ST SCOTTSDALE Maricopa AZ 85257 4809453302 [email protected]

118 9854482 13

Physician, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker,

440762 VALLE DEL SOL 511 S ROCKFORD TEMPE Maricopa AZ 85281 6022586797 [email protected]

124 7834329 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level I Subacute Facility (non-IMD), Crisis Service Provider,

33923 SOUTHWEST BEHAVIORAL HEALTH SERVICES 3450 N 3RD ST PHOENIX Maricopa AZ 85012 4805038530

125 9189895 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

546012 Lifewell Behavioral Health (formerly NEW AZ FAMILY) 2715 N 3RD ST PHOENIX Maricopa AZ 85004 602-808-

2822 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 2

MAG-353-000002

130 7950509 13

Licensed Marriage/Family Therapist, Licensed Professional Counselor, Behavioral Health Therapeutic Home,

529612 CHRISTIAN FAMILY CARE AGENCY INC 3603 N 7TH AVE PHOENIX Maricopa AZ 85013 6022341935 [email protected]

133 7837146 13

Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

076465 BAYLESS Behavioral Health Solutions 3620 N 3RD ST PHOENIX Maricopa AZ 85012 6022307373 [email protected]

135 9719344 13

Psychologist, Physician Assistant, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency, Licen

138462 MOUNTAIN HEALTH & WELLNESS 22711 S ELLSWORTH RD BLDG 6

QUEEN CREEK Maricopa AZ 85142 4809830065

142 not avail 13

Level II B/H Residence (non IMD), Level III B/H Residential (non IMD), Behavioral Health Therapeutic Home,

FSL PATHWAYS 1201 E THOMAS RD PHOENIX Maricopa AZ 85014 602.285.1800 [email protected]

154 7057758 13 Behavioral Health Outpatient Clinic, 443804 Purewal Satinder SATINDER S PUREWAL MD LLC 6677 W THUNDERBIRD RD STE

I-164 GLENDALE Maricopa AZ 85306 6238782100 [email protected]

156 9900513 13

Physician, Nurse Practitioner, DO- Physician Osteopath, Behavioral Health Outpatient Clinic,

SOUTHWEST NETWORK GLENDALE CENTER 2700 N CENTRAL STE 1050 PHOENIX Maricopa AZ 85004 6024167600 [email protected]

158 9473504 13

Laboratory, Physician, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

PC NETWORK CENTRO ESPERANZA 310 S EXTENSION RD MESA Maricopa AZ 85210 4806153800

180 9011423 13 Behavioral Health Outpatient Clinic, 875734 FRIENDSHIP CMHC 730 E. Highland Ave PHOENIX Maricopa AZ 85014 6022416656 [email protected]

181 5025606 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor, Tribal Traditional Services Practi

479794 NATIVE AMERICAN COMMUNITY HEALTH CENTER INC 4520 N CENTRAL AVE STE 620 PHOENIX Maricopa AZ 85012 6022795262x

3205 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 3

MAG-353-000003

182 9407510 13

Laboratory, Physician, Nurse Practitioner, Non-Emergency Transportation, DO- Physician Osteopath, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level III B/H Residential (non IMD), Level I Subacute Facility (non-IMD), Crisis Servi

425151 COMMUNITY BRIDGES JOURNEY A NEW BEGINNING

1811 S ALMA SCHOOL RD STE 160 MESA Maricopa AZ 85210 4809627922 [email protected]

183 4322089 13 Psychologist, 418568 ABBOTT PATRICIA ABBOTT, PATRICIA 6625 S. Rural Rd Suite 111 Tempe Maricopa AZ 85283 6024705000 [email protected]

185 9629152 13 Licensed Clinical Social Worker, 077431 ADAMS SUSAN ADAMS, SUSAN SUITE 107

633 E RAY ROAD

GILBERT Maricopa AZ 85296 4802252630 [email protected]

189 9884590 13

Behavioral Health Outpatient Clinic, Licensed Professional Counselor,

561336 ALAIA BRENDA Crisis Preparation and Recovery Inc CRISIS PREPARATION & REC3260 N. HAYDEN RD.

SCOTTSDALE Maricopa AZ 85251 4808040326 [email protected]

191 not avail 13

Psychologist, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Professional Counselor,

936700 ALBRECHT

DOUGLAS Southwest Human Development 2850 N 24TH ST PHOENIX Maricopa AZ 85008

196 not avail 13

Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Behavioral Health Therapeutic Home,

692033 ALONSO IRMA Human Services Consultants 9205 W MACKENZIE DRIVE PHOENIX Maricopa AZ 85037 6022791427 [email protected]

206 9526552 13Behavioral Health Outpatient Clinic, Crisis Service Provider,

639073 ANDERSON SUSAN EMPACT SUICIDE PREVENTION 21300 N JOHN WAYNE PKWY STE 103 MARICO

PA Maricopa AZ 85139 520-316-6068 [email protected]

219 not avail 13 Psychologist, 032567 AUTRY KRISTINE Autry Psychological Services, LLC 11024 N. 28th Drive Phoenix Maricopa AZ 85029 (623) 455-9189 [email protected]

220 not avail 13 Licensed Professional Counselor, 766298 AXFORD DARSI AXFORD, DARSI 4300 N MILLER RD #110-23 SCOTTS

DALE Maricopa AZ 85251 [email protected]

225 7657649 13 Psychologist, 160634 BAILEY ARIZPE MELISSA BAILEY ARIZPE, MELISSA 10210 N 92ND ST # 300 SCOTTS

DALE Maricopa AZ 85258 480-529-0959 [email protected]

229 not avail 13

Nurse Practitioner, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

697030 BALLES NICOLE MARC Center of Mesa BLDG #14250 E FLORIAN AVE

MESA Maricopa AZ 85201 4803328597

231 not avail 13

Physician, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor

048256 BARKER MARIANNE Jewish Family and Children's Services 2033 N. 7TH STREET PHOENIX Maricopa AZ 85006 4808200825

241 not avail 13

Physician, Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Crisis Service Provider,

174768 BEEMAN JULIETTE Crisis Prep and Recovery CRISIS PREPARATION & RECO

3260 N HADYEN RD. , # 101

SCOTTSDALE Maricopa AZ 85251

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 4

MAG-353-000004

242 9403196 13 Psychologist, 371496 BELL SHARON BELL, SHARON # 297

8190N W DEER VALLEY RD

PEORIA Maricopa AZ 85383 6029442222 [email protected]

248 not avail 13

Physician, Nurse Practitioner, DO- Physician Osteopath, Behavioral Health Outpatient Clinic,

341788 BERGER ALLISON BERGER, ALLISON 2850 N 24TH ST PHOENIX Maricopa AZ 85008 6025266789

253 7880812 13 Licensed Professional Counselor, 747488 BILLMAN STEPHA

NIE BILLMAN, STEPHANIE 3303 E BASELINE RD BLDG 6 STE 114 GILBERT Maricopa AZ 85234 480-636-

7823 [email protected]

257 not avail 13 Licensed Clinical Social Worker, 658735 BLACKBU

RN CARMA BLACKBURN, CARMA 16712 E AVE OF THE FOUNTN FOUNTAIN HILLS Maricopa AZ 85268 [email protected]

258 not avail 13

Habilitation Provider, Level II B/H Residence (non IMD), Behavioral Health Therapeutic Home,

845703 BLAKEY KELLY BLAKEY, KELLY KELLY'S ADULT THERAPEUTIC

42631 NORTH 43RD DRIVE

NEW RIVER Maricopa AZ 85087 623-670-

4139 [email protected]

259 9823223 13 Psychologist, 186561 BLUTH GEORGE J BLUTH, GEORGE 3930 E CAMELBACK RD SUITE

#205 PHOENIX Maricopa AZ 85018 6024686996 [email protected]

266 5532087 13

Licensed Clinical Social Worker, Licensed Marriage/Family Therapist,

698152 BRADLEY WILLIAM BRADLEY, WILLIAM # 252101 E BROADWAY RD

TEMPE Maricopa AZ 852821880 4809213711 [email protected]

267 not avail 13

Physician, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor

636236 BRADWAY

CATHERINE Jewish Family and Children's Services 2033 N 7TH STREET PHOENIX Maricopa AZ 85006 4808200825 [email protected]

279 not avail 13 Behavioral Health Outpatient Clinic, 563752 BRUESC

HKE ERICH BRUESCHKE, ERICH 1424 S. 7th Avenue Phoenix Maricopa AZ 85007 602-257-8970

286 9494053 13 Licensed Clinical Social Worker, 593511 BURGHEI

MERKATHLEEN BURGHEIMER, KATHLEEN SUITE 110

2454 E SOUTHERN AVE

MESA Maricopa AZ 85204 4808617833 [email protected]

287 7375638 13

Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

912627 BURKLUND DEBRA BURKLUND, DEBRA 207 N GILBERT RD STE 107 GILBERT Maricopa AZ 85234 4803451313 [email protected]

301 9659236 13 Licensed Professional Counselor, 649014 CARL SHARON Mending Hearts Family Services 14240 N 43RD AVE GLENDA

LE Maricopa AZ 85306 6026332246 [email protected]

313 not avail 13

Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Behavioral Health Therapeutic Home,

437800 CASON SOLOMON Human Services Consultants 683 SOUTH SAHUARO DRIVE GILBERT Maricopa AZ 85233 6022791427 [email protected]

317 not avail 13

Physician, Nurse Practitioner, DO- Physician Osteopath, Behavioral Health Outpatient Clinic,

834384 CHAFETZ DANIEL Southwest Network BLDG A 1424 S 7TH AVE PHOENIX Maricopa AZ 85007 602-258-

3600

320 not avail 13

Physician, Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Crisis Service Provider,

688949 CHENG DEBORAH Crisis Preparation and Recovery, Inc. CRISIS PREPARATION & RECO

2120 S MCCLINTOCK DR #105

TEMPE Maricopa AZ 85282

324 not avail 13

Physician, Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Crisis Service Provider,

697896 CLARK LISA CRISIS PREPARATION & RECO CRISIS PREPARATION & RECO

2120 S MCCLINTOCK DR #105

TEMPE Maricopa AZ 85282 4808040326

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 5

MAG-353-000005

325 9682587 13

Physician, Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Crisis Service Provider,

559377 CLARK MARIA Crisis Preparation and Recovery Inc CRISIS PREPARATION & REC.3260 N. HAYDEN RD.

SCOTTSDALE Maricopa AZ 85251 4808040326 [email protected]

333 not avail 13

Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Behavioral Health Therapeutic Home,

667213 COLTER DEBRA Human Services Consultants 6808N S 44TH WAY PHOENIX Maricopa AZ 85042 6022791427 [email protected]

340 9622688 13 Behavioral Health Outpatient Clinic, 605188 COX DIANA COX, DIANA 1800 E. VAN BUREN ST. PHOENIX Maricopa AZ 85006 6022518535

366 not avail 13

Physician, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor

574936 DEAN JODY Jewish Family & Children's Services 2017 N 7TH ST PHOENIX Maricopa AZ 85006 (602) 279-7655 [email protected]

368 7270823 13 Licensed Clinical Social Worker, 752586 DEAN PAMELA DEAN, PAMELA B-105

21321 E. OCOTILLO ROAD

QUEEN CREEK Maricopa AZ 85142 4802582915 [email protected]

373 not avail 13

Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

535096 DEMARTE JANEEN Bayless Behavioral Health 3620 N. 3RD ST. PHOENIX Maricopa AZ 85012 6022307373 [email protected]

376 not avail 13

Physician Assistant, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

651688 DENTON SHARLA MARC Center of Mesa BLDG # 14250 E. FLORIAN AVE

MESA Maricopa AZ 85206 4809693800

379 not avail 13 Behavioral Health Outpatient Clinic, 589408 DIAZ CARLOS CHOICES Network - So Central 1616 E ROESER RD PHOENIX Maricopa AZ 85040 (602) 323-

3000

399 7303895 13

Psychologist, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Professional Counselor,

754334 ELWOOD MIA HEALTHY FUTURES 9449 N 90TH ST #210 SCOTTSDALE Maricopa AZ 85258 4804518500 [email protected]

405 9381852 13 Psychologist, 644018 ETLING THEODORE ETLING, THEODORE 1400 N GILBERT RD # H GILBERT Maricopa AZ 85234 4806232301 [email protected]

410 7074134 13 Licensed Professional Counselor, 503321 EXELBY KATHLEE

N EXELBY, KATHLEEN STE. # 12016700 N. THOMPSON PEAK

SCOTTSDALE Maricopa AZ 85260 4809918351 [email protected]

411 9745613 13 Psychologist, 519660 FAHS BREANNE FAHS, BREANNE SUITE 117

3400 N DYSART ROAD

AVONDALE Maricopa AZ 85340 6235367956 [email protected]

420 5187413 13 Nurse Practitioner, 751364 FINNEY CAROL Freedom Beyond Therapy, LLC 10220 N 31ST AVE PHOENIX Maricopa AZ 85029 6024309123 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 6

MAG-353-000006

421 7179439 13

Psychologist, Physician Assistant, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency, Licen

578685 FISHER-PINSON MARY MOUNTAIN HEALTH & WELLNESS 625 N PLAZA DRIVE

APACHE JUNCTION

Pinal AZ 85120 4809830571 [email protected]

425 9527334 13 Licensed Professional Counselor, 434371 FORD EARNES

T Earnest Ford,LPC, Counseling Services BLDG 4 STE 110

2152 SOUTH VINEYARD

MESA Maricopa AZ 85210 4805073340 [email protected]

435 7047712 13 Licensed Professional Counselor, 880840 FROELIC

HER KARI Breaking Free Christian Counseling 315 W APACHE ST WICKENBURG Maricopa AZ 85390 9282329280 [email protected]

437 not avail 13

Level II B/H Residence (non IMD), Licensed Professional Counselor, Behavioral Health Therapeutic Home,

534267 FURCH ALISA JFM Inspirations Counseling Services 4119 N. MITCHELL STREET PHOENIX Maricopa AZ 85014 [email protected]

438 not avail 13

Physician, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor

822660 FUSCHINI ROBERT Jewish Family and Children's Services 2033 N. 7TH ST. PHOENIX Maricopa AZ 85006 6023530703 [email protected]

442 not avail 13

Physician, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor

271136GALLO-VAZQUEZ

SILVIA Jewish Family and Children's Services 2033 N 7TH ST PHOENIX Maricopa AZ 85006 6029997898 [email protected]

447 not avail 13Licensed Independent Substance Abuse Counselor,

439734 GARCIA SYLVIA Addiction Services, PC 37 NORTH HIBBERT MESA Maricopa AZ 85201 6022915210 [email protected]

448 9193568 13Behavioral Health Outpatient Clinic, Crisis Service Provider,

516635 GARDUNO

ROSEMARIE EMPACT SUICIDE PREVENTION 618 S. Madison Drive TEMPE Maricopa AZ 85281 480-784-

1514 [email protected]

452 not avail 13

Physician Assistant, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

766280 GATUNDU VIRGINIA MARC Center of Mesa BLDG # 1

4250 E FLORIAN AVE

MESA Maricopa AZ 85206 4809693800

461 4290969 13 Psychologist, 107286 GOLDBERG

KENNETH GOLDBERG, KENNETH 2700 NORTH 3RD STREET SUITE

2008 TEMPE Maricopa AZ 85283 6022644600 no email provided

465 9506316 13 Licensed Professional Counselor, 435309 GONZAL

ES LAURA GONZALES, LAURA STE 1058715 W UNION HILLS

PEORIA Maricopa AZ 85382 6027177213 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 7

MAG-353-000007

474 not avail 13

Physician, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor

618207 GREEN KELLY Jewish Family and Children's Services 2033 N 7TH ST PHOENIX Maricopa AZ 85006 6027084719 [email protected]

488 not avail 13

Physician Assistant, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

690440HALL-RODRIGUEZ

STEFFANI MARC Center of Mesa BLDG 1

4250 E FLORIAN AVE

MESA Maricopa AZ 85206 6022489247

493 not avail 13

Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Behavioral Health Therapeutic Home,

865842 HARDIN ROBERT Human Services Consultants 4316 W HOPI TRAIL LAVEEN Maricopa AZ 85339 6022791427 [email protected]

519 not avail 13 Licensed Professional Counselor, 940181 HOBBS JANICE HOBBS, JANICE 140 S GILBERT RD GILBERT Maricopa AZ 85296 4806321560 [email protected]

524 not avail 13 Psychologist, 563976 HOLTZMAN ELSA HOLTZMAN, ELSA 1442 E. Echo Lane Phoenix Maricopa AZ 85020 602-870-

8838 [email protected]

528 not avail 13 Behavioral Health Outpatient Clinic, 683451 HOROWI

TZ NOAH CHOICES Network - Arcadia 3311 N 44th St. #100 Phoenix Maricopa AZ 85018-6446

602-957-2220

530 not avail 13

Physician, Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Crisis Service Provider,

533805 HORTON MARY HORTON, MARY CRISIS PREVARICATION3260 N HAYDEN RD # 101

SCOTTSDALE Maricopa AZ 85251

534 not avail 13 Psychologist, 320717 HUGGINS NICOLE HUGGINS, NICOLE 4135 S. Power Rd Ste 125 Mesa Maricopa AZ 85212 [email protected]

539 9113362 13 Licensed Professional Counselor, 926371 HUTCHIS

ONMICHELLE HUTCHINSON, MICHELLE SUITE 410

11321 WEST BELL ROAD

SURPRISE Maricopa AZ 85374 6233309035 [email protected]

549 9617231 13

Licensed Marriage/Family Therapist, Licensed Professional Counselor,

629477 JAMES BETTY JAMES, BETTY 2033 N. 7TH STREET PHOENIX Maricopa AZ 85006 6023530703 [email protected]

560 5919184 13 Psychologist, 063652 JOHNSON KIM JOHNSON, KIM 1930 S ALMA SCHOOL #B214 MESA Maricopa AZ 85210 4804915501 [email protected]

568 not avail 13 Psychologist, Licensed Clinical Social Worker, 423191 JONES TIFFANY JONES, TIFFANY SUITE 201

4111 E. VALLEY AUTO DRIVE

MESA Maricopa AZ 85206

575 5558464 13 Psychologist, 732174 KAUFMAN SHELLEY KAUFMAN, SHELLEY SUITE 315

17505 NORTH 79TH AVE

GLENDALE Maricopa AZ 85308872

5 6022570560 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 8

MAG-353-000008

583 not avail 13

Physician, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor

627869 KELSEA CYNTHIA Jewish Family and Children's Services 2033 N 7TH ST PHOENIX Maricopa AZ 85006 4808200825 [email protected]

585 not avail 13

Physician, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor

761115 KERR JEAN Jewish Family and Children's Services 2033 N. 7TH STREET PHOENIX Maricopa AZ 85008 4808200825 [email protected]

586 not avail 13 Licensed Clinical Social Worker, 624076 KHALSA HAR KHALSA, HAR SUITE 105

3200 N HAYDEN RD

SCOTTSDALE Maricopa AZ 85251665

4 [email protected]

591 not avail 13

Behavioral Health Outpatient Clinic, Licensed Independent Substance Abuse Counselor,

357569 KING LATANYA KING, LATANYA STE. B1122 E. BUCKEYE RD.

PHOENIX Maricopa AZ 85034

598 5185569 13

Physician, Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Crisis Service Provider,

143723 KNAPP BARBARA Crisis Preparation and Recovery Inc # 101

3260 NORTH HAYDEN ROAD

SCOTTSDALE Maricopa AZ 85251 4808049542 [email protected]

599 9039740 13

Psychologist, Physician Assistant, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency, Licen

629240 KNOP DEBRA MOUNTAIN HEALTH & WELLNESS 150 N. OCOTILLO DR BLDG 1APACHE JUNCTION

Pinal AZ 85120 4809830065 [email protected]

612 9972809 13 Psychologist, 665109 LAHANN REBBECA LAHANN, REBECCA SUITE E - 204

3651 EAST BASELINE ROAD

GILBERT Maricopa AZ 85234 6024927793 [email protected]

622 not avail 13 Nurse Practitioner, 697557 Wells Kathy La Frontera SUITE 103

21300 N. JOHN WAYNE PKWY.

MARICOPA Maricopa AZ 85302385

3520-838-5501 [email protected]

632 9706434 13 Psychologist, 615690 LERNER SUE LERNER, SUE STE. A207

8300 NORTH HAYDEN ROAD

SCOTTSDALE Maricopa AZ 85258 4803486899 [email protected]

637 7502769 13

Behavioral Health Outpatient Clinic, Licensed Professional Counselor,

541734 LEWIS CHRISTIA Crisis Preparation and Recovery Inc CRISIS PREPARATION AND RE3260 N HAYDEN RD

SCOTTSDALE Maricopa AZ 85251 4808040326 [email protected]

641 not avail 13Licensed Marriage/Family Therapist,

439022 LING FRIEDA LING, FRIEDA 14240 N 43RD AVENUE GLENDALE Maricopa AZ 85306 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 9

MAG-353-000009

644 9842523 13Behavioral Health Outpatient Clinic, Crisis Service Provider,

846363 LIPPERT JOHANNA EMPACT SUICIDE PREVENTION 4425 W OLIVE AVE STE 194 GLENDA

LE Maricopa AZ 85302 480-784-1514 [email protected]

659 5158060 13 Licensed Clinical Social Worker, 704159 LULL DAVID David C. Lull, PhD, BCD, LCSW 18301 N. 79TH AVENUE SUITE C-

133GLENDALE Maricopa AZ 85308 6239792424 [email protected]

660 5967409 13 Licensed Clinical Social Worker, 540286 LULL MARSHA LULL, MARSHA SUITE C133

18301 N 79TH AVENUE

GLENDALE Maricopa AZ 85308 6239791616 [email protected]

662 not avail 13 Psychologist, 703184 LEWIS DEOBRAH LEWIS, DEBORAH 10000 N 31ST AVE STE C202 PHOENIX Maricopa AZ 85051 (602) 997-

6635 [email protected]

664 7967189 13 Licensed Professional Counselor, 738908 MAGEE

MULROY ANN MAGEE, MULROY, ANN 5484 E. CHOLLA STREET SCOTTSDALE Maricopa AZ 85254 4802293999 [email protected]

666 not avail 13 Behavioral Health Outpatient Clinic, 641714 MALASC

HOWSKI CARRIE MALASCHOWSKI, CARRIE 507 E BROADWAY QUEEN CREEK Maricopa AZ 85142 602-277-

0920

669 9032327 13 Licensed Professional Counselor, 431912 MALLOR

Y CHERYL MALLORY, CHERYL SUITE 2021845 S DOBSON RD

MESA Maricopa AZ 85202 4805073340 [email protected]

675 not avail 13 Behavioral Health Therapeutic Home, 720400 MARINO DIANE MARINO, DIANE 21278 E. AVENIDA DE VALLE QUEEN

CREEK Maricopa AZ 85142 [email protected]

686 not avail 13

Psychologist, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Professional Counselor,

211835 MATTEO TERRENCE Southwest Human Development 2850 NORTH 24TH ST PHOENIX Maricopa AZ 85008 6022665976 [email protected]

687 not avail 13

Physician, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor

535032 MAYMANA MARY Jewish Family & Children's Services 2033 N 7TH ST PHOENIX Maricopa AZ 85006 6025678368 [email protected]

689 9120355 13

Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

396765 MCCAINE JON Bayless Behavioral Health Solutions 3620 N 3RD STREET PHOENIX Maricopa AZ 85012 6025023629 [email protected]

692 9584428 13 Psychologist, 534358 MCGOWAN MICHAEL MCGOWAN, MICHAEL STE 103 10575 N

114TH STSCOTTSDALE Maricopa AZ 85259 4802253236 [email protected]

709 9744262 13 Licensed Clinical Social Worker, 403418 MEVORA

CH MARCY MEVORACH, MARCY SUITE # 12515535 N REEMS ROAD

SURPRISE Maricopa AZ 85374958

0 6232082844 [email protected]

711 4121771 13 Licensed Clinical Social Worker, 744525 MILLER SANDRA MILLER, SANDRA 5520 E LONE MOUNTAIN RD CAVE

CREEK Maricopa AZ 85331 6028394567 [email protected]

713 not avail 13 Licensed Clinical Social Worker, 616185 MIMS CHARLES MIMS, CAHRLES SUITE E-149

625 SOUTHERN AVE

MESA Maricopa AZ 85210 480-809-4594 [email protected]

723 not avail 13

Physician, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor

636357 MORIN CELESTE Jewish Family and Children's Services 2033 N 7TH ST PHOENIX Maricopa AZ 85006 6023530703 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 10

MAG-353-000010

727 not avail 13

Psychologist, Physician Assistant, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency, Licen

685143 MORT MONIQUE Mountain Health and Wellness BLDG G STE 105

22711 S ELLSWORTH ROAD

QUEEN CREEK Maricopa AZ 85142 4809830065

738 not avail 13

Physician, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor

742496 MYERS BRYAN Jewish Family and Children's Services 2033 N. 7TH ST. PHOENIX Maricopa AZ 85006 6023530703 [email protected]

751 7339786 13

Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker,

182355 NOLLETTI LAKSHMI NOLETTI, LAKSHMI 1612 E OCOTILLO RD #8 PHOENIX Maricopa AZ 85016 6023438232 [email protected]

757 not avail 13 Physician, 137796 OGNYANOV VOISLAV La Frontera 2222 N Craycroft Rd Suite 120 Tucson Pima AZ 85712

762 7880072 13 Psychologist, 718843 OLIN KEVIN KEVIN S OLIN PLLC SUITE 201 1492 S MILL AVE TEMPE Maricopa AZ 85281 4807207488 [email protected]

766 7020290 13Behavioral Health Outpatient Clinic, Crisis Service Provider,

501446 OUTTEN JUDITH EMPACT Suicide Prevention Center 1232 East Broadway Road Suite 120 Tempe Maricopa AZ 85282 (480) 784-1514 [email protected]

773 9136094 13 Licensed Professional Counselor, 748246 PASCHAL

L EUGENE PASCHALL, EUGENE 7749 W CHERRY HILLS DR PEORIA Maricopa AZ 85345 6025709906 [email protected]

782 9202701 13Psychologist, Behavioral Health Outpatient Clinic, Crisis Service Provider,

624589 PAUL AMY Crisis Preparation and Recovery Inc 3260 N. HAYDEN RD Suite 101 SCOTTSDALE Maricopa AZ 85251 4808040326 [email protected]

786 9579607 13 Licensed Clinical Social Worker, 432878 PECK MICHAEL Q Counseling Services STE C - 296

301 E. BETHANY HOME RD.

PHOENIX Maricopa AZ 85012 6025702373 [email protected]

792 not avail 13

Physician, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker,

795594 PEREZ EDWIN Valle Del Sol 3807 N. 7th Street PHOENIX Maricopa AZ 85014 6022586797 [email protected]

794 not avail 13

Psychologist, Physician Assistant, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency, Licen

388275 PERRONE VALERIE Mountain Health and Wellness Facility

(Psych Facility) 301 E COMBS RD QUEEN CREEK Maricopa AZ 85142 PERRONE

796 7340289 13Psychologist, Licensed Professional Counselor, Crisis Service Provider,

577398 PETTI JOHN PETTI, JOHN 4202 N 32 ST SUITE I PHOENIX Maricopa AZ 85018 4803911980 [email protected]

800 5136378 13Psychologist, Licensed Professional Counselor, Crisis Service Provider,

506547 PINNELL CORNELIA PINNELL, CORNELIA BLDG 2, STE 115 18205 N

51ST AVEGLENDALE Maricopa AZ 85308 623-979-

8290 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 11

MAG-353-000011

805 9106579 13

Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker,

555292 POLLOCK MAR Crisis Prep and Recovery CRISIS PREPARATION AND RE

3260 N. HAYDEN RD. #

SCOTTSDALE Maricopa AZ 85251 4808040326 [email protected]

807 7363439 13 Licensed Professional Counselor, 884628 POPKEY KIMBERL

Y Sea Change, LLC 8300 N HAYDEN RD # A-108 SCOTTSDALE Maricopa AZ 85258 4804519800 [email protected]

809 not avail 13 Psychologist, 611393 PORTER RACHEL RAMIREZ, RACHEL SUITE E-1104620 N 16TH STREET

PHOENIX Maricopa AZ 85016 623-217-7055 [email protected]

814 not avail 13 Behavioral Health Outpatient Clinic, 714271 PRESS BENET Touchstone BH 15648 North 35th Avenue Maricopa 85053 623-930-

8705 [email protected]

822 not avail 13 Psychologist, 579862 RAMIREZ ELIZABETH RAMIREZ, ELIZABETH 4250 E FLORIAN AVE # 1 MESA Maricopa AZ 85206

831 not avail 13

Psychologist, Physician Assistant, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency, Licen

533565RECHICHAR-MUZZIN

JOCELYN Mountain Health & Wellness 625 N PLAZA DRIVEAPACHE JUNCTION

Pinal AZ 85120 520-896-9240

832 not avail 13

Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Behavioral Health Therapeutic Home,

158189 REDD MARILYN Human Services Consultant APT 11568622 N 59TH AVE

GLENDALE Maricopa AZ 85302 602-279-

1427 [email protected]

842 not avail 13

Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Behavioral Health Therapeutic Home,

660761 REYNA JOSHUA Human Services Consultants 12420 W. SAN MIGUEL AVE. LITCHFIELD PARK Maricopa AZ 85340 6022791427 [email protected]

849 not avail 13

Behavioral Health Outpatient Clinic, Behavioral Health Therapeutic Home,

559249 ROBINSON ANIKA Arizona's Children Association 2102 E. Vaughn Ave. GILBERT Maricopa AZ 85234 602-633-

4401 [email protected]

852 4561507 13 Physician, 116005RODRIGUEZ SORA

RAUL RODRIGUES SORA, RAUL 5700 East Pima Street Suite I Tucson Pima AZ 85712 5207501739 [email protected]

855 not avail 13 Behavioral Health Outpatient Clinic, 650176 ROGERS ELIZABE

TH ANNE CHOICES Network - Enclave 1642 S Priest Dr. Bldg. 6, Suite 101 Tempe, Maricopa AZ 85281-

6204602/278-1414

863 4058111 13 Psychologist, 731316 ROTH KARLSSON ROTH, KARLSSON SUITE 108

2211 E HIGHLAND AVE

PHOENIX Maricopa AZ 850164833 6028630101 [email protected]

882 9677697 13 Psychologist, 811895 SCHANNE PEG SCHANNE, PEG 13660 N 94TH DR # F-3 PEORIA Maricopa AZ 85381 9283414220

892 not avail 13 Psychologist, 659904 SEKANDARI NAFISA SEKANDARI, NAFISA PARADISE VALLEY USD # 69 15002 N

32ND ST PHOENIX Maricopa AZ 85032 6024492081 [email protected]

893 not avail 13

Psychologist, Physician Assistant, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency, Licen

559898 SERRA L. Mountain Health & Wellness 2805 S IRONWOODAPACHE JUNCTION

Pinal AZ 85120 (480) 474-5500

894 not avail 13 Licensed Professional Counselor, 439031 SESTILI HEATHE

R SESTILI, HEATHER 5940 W. Union Hills Drive Suite D-240 Glendale Maricopa AZ 85308 (623) 432-

0738 [email protected]

904 not avail 13 Psychologist, 213772 SHUBECK ROZELLA Human Resources Training 17401 N 30TH ST PHOENIX Maricopa AZ 85032 6024331344 [email protected]

905 not avail 13

Physician, Nurse Practitioner, DO- Physician Osteopath, Behavioral Health Outpatient Clinic,

605980 SIDDIQUI MOHAMMAD Southwest Network S.W. NETWORK - SAN TAN

1465 W. CHANDLER BLVD

CHANDLER Maricopa AZ 85224 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 12

MAG-353-000012

910 not avail 13

Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Behavioral Health Therapeutic Home,

872847 SIMS LAURIE Human Services Consultants 43017 N 43RD DRIVE NEW RIVER Maricopa AZ 85087 623-780-

1607 [email protected]

914 not avail 13 Behavioral Health Therapeutic Home, 455596 SITTON TRACY SITTON, TRACY 7819 S. 5TH DR. PHOENIX Maricopa AZ 85041 [email protected]

928 7197216 13 Licensed Professional Counselor, 687519 STAMOS CAROL STAMOS, CAROL 7227 North 16th Street Suite 213 PHOENIX Maricopa AZ 85020 6028703800 [email protected]

934 9906516 13 Licensed Professional Counselor, 455820 STODDA

RD BETH STODDARD, BETH 43491 N. COYOTE RD. SAN TAN VALLEY Pinal AZ 85140 6232932282 [email protected]

944 5640600 13 Licensed Clinical Social Worker, 727571 SUGAR SUSAN SUGAR, SUSAN K107

8314 N 21ST DRIVE

PHOENIX Maricopa AZ 85021 6029953637 [email protected]

951 9568825 13 Behavioral Health Outpatient Clinic, 684906 SWAIM JEANETT

E Youth Evaluation And Treatment Centers 4414 North 19th Street PHOENIX Maricopa AZ 85015 4806611075 [email protected]

951 9568825 13 Behavioral Health Outpatient Clinic, 684906 SWAIM JEANETT

E Youth Evaluation And Treatment Centers 4414 North 19th Street PHOENIX Maricopa AZ 85015 4806611075 [email protected]

960 9750448 13 Psychologist, Behavioral Health Outpatient Clinic, 727943 THOMAS GARY THOMAS, GARY SUITE E - 110

4620 NORTH 16TH STREET

PHOENIX Maricopa AZ 850165121 4809822356 [email protected]

962 not avail 13

Physician, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor

783523 THORNTON

HEATHER Jewish Family & Childrens Services # B258

1255 W BASELINE

MESA Maricopa AZ 85202 (602) 256-0528 [email protected]

965 not avail 13

Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Behavioral Health Therapeutic Home,

561283 TOLLIVER ANGELA Human Services Consultants 2942 S. 162ND LANE GOODYE

AR Maricopa AZ 85338 602-279-1427 [email protected]

969 7996953 13 Licensed Professional Counselor, 074090 TOSCA CARLOS TOSCA, CARLOS CRISIS PREPARATION & RECO

3260 N HAYDEN RD #101

SCOTTSDALE Maricopa AZ 85251 4808040326 [email protected]

972 5761757 13 Licensed Clinical Social Worker, 688400 TRAUB MICHAEL TRAUB, MICHAEL 3200 N HAYDEN RD STE 150 SCOTTS

DALE Maricopa AZ 85251 4805150490 [email protected]

986 not avail 13

Behavioral Health Outpatient Clinic, Licensed Professional Counselor,

620302 VAN BUSKIRK KARA YOUTH ADVOCATE PROGRAMS SUITE 103

4494 W. PEORIA AVENUE

GLENDALE Maricopa AZ 85302 602-380-

3919 [email protected]

1001 not avail 13 Licensed Professional Counselor, 656579 WALKER JENNIFE

R_A WALKER, JENNIFER 13624 W CAMINO DEL SOLSUN CITY WEST

Maricopa AZ 85375 6233303886 [email protected]

1033 9375830 13 Licensed Clinical Social Worker, 404831 WISKER

CHEN LINDA WISKERCHEN, LINDA C/O OSBORN SCHOOL DISTRIC

1226 W OSBORN RD

PHOENIX Maricopa AZ 850133618 4808619624 [email protected]

1043 7113495 13

Licensed Marriage/Family Therapist, Licensed Professional Counselor,

728991 YOST RUSSELL CHRISTIAN FAMILY CARE AGENCY INC 3603 N 7TH AVE PHOENIX Maricopa AZ 85013 6022341935 [email protected]

1045 not avail 13

Psychologist, Physician Assistant, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency, Licen

166497 YOUNG ROBERT Mountain Health & Wellness 625 N PLAZA DRIVEAPACHE JUNCTION

Pinal AZ 85120 4802885328

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 13

MAG-353-000013

1047 7020068 13 Licensed Clinical Social Worker, 696249 ZACCARI ANNETTE ZACCCARI, ANNETTE SUITE 14

1717 N. 77TH STREET

SCOTTSDALE Maricopa AZ 85257 4804211431 [email protected]

1049 not avail 13

Physician, Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Crisis Service Provider,

569112 ZARCHY GARY ZARCHY, GARY CRISIS PREPARATION RECOVE

3260 N HAYDEN RD

SCOTTSDALE Maricopa AZ 85251

1059 not avail 13Habilitation Provider, Community Service Agency,

826349 A CARING HEART OF ARIZONA, LLC 7701 E. OAK STREET SCOTTSDALE Maricopa AZ 85257 480-308-

0382 [email protected]

1068 not avail 13 Behavioral Health Therapeutic Home, 434267 A PLACE TO CALL HOME,INC. 1830 S ALMA SCHOOL RD #122 MESA Maricopa AZ 85210 (480) 456-

0549 [email protected]

1073 not avail 13 Habilitation Provider, 189822 ACCENT ON FAMILY CARE SVC 19322 E CALLE DE FLORES QUEEN CREEK Maricopa AZ 85142 480-518-

2285 [email protected]

1077 not avail 13 Behavioral Health Outpatient Clinic, 365839 ADVANCED INDEPENDENCE LLC 5313 W MURIEL DR GLENDA

LE Maricopa AZ 85308 602 439-7080 [email protected]

1091 not avail 13 Level III B/H Residential (non IMD), 454767 ALL ABOUT KIDS 12116 W DAHLIA DRIVE EL

MIRAGE Maricopa AZ 85335 480-228-9510 [email protected]

1092 not avail 13 Level III B/H Residential (non IMD), 886004 ALL ABOUT KIDS 2510 E YELLOWSTONE CHANDL

ER Maricopa AZ 85249 (480) 292-9766

1098 not avail 13

Non-Emergency Transportation, Habilitation Provider, Community Service Agency, Crisis Service Provider,

437134 AMERICAN FOCUS CARE, INC. 14620 n. cave creek #6 Phoenix Maricopa AZ 85087 602-595-4677 [email protected]

1103 not avail 13 Level II B/H Residence (non IMD), 681750 APOLLO HEALTH CARE, INC 8322 W. OREGON AVE GLENDA

LE Maricopa AZ 85305 623-877-0055 [email protected]

1121 not avail 13Habilitation Provider, Community Service Agency,

034033 aka AZTEC ARIZONA TRAINING & EVAL 7400 WEST OLIVE AVENUE #24 PEORIA Maricopa AZ 85345 623-412-

2888 [email protected]

1123 not avail 13

Behavioral Health Outpatient Clinic, Behavioral Health Therapeutic Home,

497283 ARIZONA'S CHILDREN ASSOC 25560 WEST HIGHWAY 85 SUITE 21, 22, 23

BUCKEYE Maricopa AZ 85326 (623) 889-

0091 [email protected]

1124 not avail 13

Behavioral Health Outpatient Clinic, Behavioral Health Therapeutic Home,

943432 ARIZONA'S CHILDREN ASSOC 375 E ELLIOT RDSUITES 11, 12 & 13

CHANDLER Maricopa AZ 85225112

9(480) 814-7789 [email protected]

1125 not avail 13

Behavioral Health Outpatient Clinic, Behavioral Health Therapeutic Home,

114248 ARIZONA'S CHILDREN ASSOC. 2066 W APACHE TRAIL, #111APACHE JUNCTION

Maricopa AZ 85120 (480) 503-8530 [email protected]

1127 9400510 13

Level I Psych. Hospital, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

673684 AURORA BEHAVIORAL HEALTHC 6350 SOUTH MAPLE AVENUE TEMPE Maricopa AZ 85283 4803455400 [email protected]

1128 not avail 13 Behavioral Health Outpatient Clinic, 487284 AZ CENTER FOR CHANGE 4205 N 7TH AVE # 311 PHOENIX Maricopa AZ 85013 (602) 253-

8488 [email protected]

1139 not avail 13Habilitation Provider, Level II B/H Residence (non IMD),

336472 BARAKA HOUSE II 13619 N. 36TH AVE. PHOENIX Maricopa AZ 85029 (602) 824-9100 [email protected]

1140 not avail 13Habilitation Provider, Level II B/H Residence (non IMD),

497358 BARAKA HOUSE III LLC 15402 N 29TH AVE PHOENIX Maricopa AZ 85053 (602) 942-0064 [email protected]

1142 not avail 13

Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

613797 BAYLESS BEHAVIORAL HLTH 9014 S. CENTRAL AVE. PHOENIX Maricopa AZ 85042 602-230-7373 [email protected]

1143 not avail 13

Non-Emergency Transportation, Habilitation Provider, Community Service Agency,

550392 BECKY HOME HEALTH CARE 9966 W MACKENZIE DR PHOENIX Maricopa AZ 85037

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 14

MAG-353-000014

1149 not avail 13 Level II B/H Residence (non IMD), 600791 BESCARE HOME LLC 2759 W GRENADINE RD PHOENIX Maricopa AZ 85041 [email protected]

1153 not avail 13 Behavioral Health Outpatient Clinic, 002824 BLACK FAMILY & CHILD SVC. SUITE 1

1522 EAST SOUTHERN AVENUE

PHOENIX Maricopa AZ 85040 6022431773 [email protected]

1159 not avail 13 Habilitation Provider, 825359 CARE GIVERS OF ARIZONA, I 5501 N. 19TH AVE. SUITE #425 PHOENIX Maricopa AZ 85015 [email protected]

1162 not avail 13

Level II B/H Residence (non IMD), Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

098534 CASA DE AMIGAS BLDG. 1, 2 & 31648 W. COLTER ST.

PHOENIX Maricopa AZ 85015 (602) 265- 9987 [email protected]

1176 not avail 13 Behavioral Health Outpatient Clinic, 846397 CHILD & FAMILY SUPPORT SERVICES SUITE 100

10439 South 51st Street

Phoenix Maricopa AZ 85044 4806359944 [email protected]

1179 not avail 13 Behavioral Health Outpatient Clinic, 412715 CHOICES Network - So Central 1616 E ROESER RD PHOENIX Maricopa AZ 85040 602/323-

3000

1181 not avail 13 Behavioral Health Outpatient Clinic, 399363 CHOICES Network - Enclave 1642 S. PRIEST DR.

BLDG. # 6, STE. # 101

TEMPE Maricopa AZ 85281 602/278-1414 [email protected]

1182 not avail 13 Behavioral Health Outpatient Clinic, 385224 CHOICES Network - Midtown 3333 N 7TH AVE PHOENIX Maricopa AZ 85013 602/264-

4331 [email protected]

1183 not avail 13 Behavioral Health Outpatient Clinic, 380777 CHOICES Network - W McDowell 5030 W. MCDOWELL RD.

STE. # 12, 14, 15, 16

PHOENIX Maricopa AZ 85035 602/944-9810 [email protected]

1184 not avail 13 Behavioral Health Outpatient Clinic, 392736 CHOICES Network - Townley 8836 N. 23RD AVE. STE. B-1 PHOENIX Maricopa AZ 85021 480/929-

5100 [email protected]

1185 not avail 13 Behavioral Health Outpatient Clinic, 407713 CHOICES Network - Arcadia 3311 N 44TH ST SUITE

100 PHOENIX Maricopa AZ 85018 602/957-2220 [email protected]

1188 not avail 13

Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

528862 CI, INC. 2601 N 3RD STREET, Suite 211 PHOENIX Maricopa AZ 85004 602-495-1432 [email protected]

1194 not avail 13

Non-Emergency Transportation, Habilitation Provider, Community Service Agency,

834342 CIVITAN FOUNDATION, INC 3519 E SHEA BLVD STE 120 PHOENIX Maricopa AZ 85028 602-953-2944

1198 9948521 13

Laboratory, Physician, Nurse Practitioner, Non-Emergency Transportation, DO- Physician Osteopath, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level III B/H Residential (non IMD), Level I Subacute Facility (non-IMD), Crisis Servi

679038 COMMUNITY BRIDGES EAST VALLEY Transition Point SUITE 102

358 EAST JAVELINA AVENUE

MESA Maricopa AZ 85210 4809627711 [email protected]

1199 7241916 13

Laboratory, Physician, Nurse Practitioner, Non-Emergency Transportation, DO- Physician Osteopath, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level III B/H Residential (non IMD), Level I Subacute Facility (non-IMD), Crisis Servi

419683 COMMUNITY BRIDGES, INC 554 S BELLVIEW MESA Maricopa AZ 85204 4806491141 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 15

MAG-353-000015

1200 7241916 13

Laboratory, Physician, Nurse Practitioner, Non-Emergency Transportation, DO- Physician Osteopath, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level III B/H Residential (non IMD), Level I Subacute Facility (non-IMD), Crisis Servi

480768 COMMUNITY BRIDGES, INC 554 S BELLVIEW MESA Maricopa AZ 85204 4806491141 [email protected]

1204 9498599 13

Laboratory, Physician, Nurse Practitioner, Non-Emergency Transportation, DO- Physician Osteopath, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level III B/H Residential (non IMD), Level I Subacute Facility (non-IMD), Crisis Servi

283412 COMMUNITY BRIDGES, INC Center for Excellence 8825 N. 23RD AVENUE PHOENIX Maricopa AZ 85021 6028612255 [email protected]

1205 not avail 13

Laboratory, Physician, Nurse Practitioner, Non-Emergency Transportation, DO- Physician Osteopath, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level III B/H Residential (non IMD), Level I Subacute Facility (non-IMD), Crisis Servi

560052 COMMUNITY BRIDGES, INC Glendale Outpatient Services Center A-100

4225 WEST GLENDALE AVE

PHOENIX Maricopa AZ 85051 [email protected]

1206 9407510 13

Laboratory, Physician, Nurse Practitioner, Non-Emergency Transportation, DO- Physician Osteopath, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level III B/H Residential (non IMD), Level I Subacute Facility (non-IMD), Crisis Servi

425151 COMMUNITY BRIDGES, INC SUITE 1041550 N STONEHENGE DR

GILBERT Maricopa AZ 85233 4809627922 [email protected]

1207 not avail 13

Laboratory, Physician, Nurse Practitioner, Non-Emergency Transportation, DO- Physician Osteopath, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level III B/H Residential (non IMD), Level I Subacute Facility (non-IMD), Crisis Servi

630824 COMMUNITY BRIDGES, INC West Valley Transition Point SUITE 109

824 N 99TH AVE

AVONDALE Maricopa AZ 85323 [email protected]

1208 not avail 13

Laboratory, Physician, Nurse Practitioner, Non-Emergency Transportation, DO- Physician Osteopath, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level III B/H Residential (non IMD), Level I Subacute Facility (non-IMD), Crisis Servi

630855 COMMUNITY BRIDGES, INC WEST Valley Access Point SUITE 108

824 N 99TH AVENUE

AVONDALE Maricopa AZ 85323 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 16

MAG-353-000016

1219 not avail 13 Behavioral Health Outpatient Clinic, 441245 COMUNIDAD 1035 E JEFFERSON ST STE A PHOENIX Maricopa AZ 85034

(602) 252-6731

-

1221 not avail 13 Habilitation Provider, 705734 CORNERSTONE HEALTHCARE 200 N NEBRASKA STREET CHANDLER Maricopa AZ 85225 800-743-

8013 [email protected]

1226 7737634 13

Physician, Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Crisis Service Provider,

704472 CRISIS PREPARATION & RECO SUITE 1052120 S. MCCLINTOCK DR.

TEMPE Maricopa AZ 85282 4808040326

1227 not avail 13 Crisis Service Provider, 428684 CRISIS RESPONSE NETWORK SUITE 2011275 W WASHINGTON ST

TEMPE Maricopa AZ 85281 [email protected]

1230 not avail 13 Level III B/H Residential (non IMD), 484459 DESERT CEDAR BH AGENCY L3 2264 W OLIVE WAY CHANDL

ER Maricopa AZ 85248 [email protected]

1235 not avail 13

Non-Emergency Transportation, Habilitation Provider, Community Service Agency,

393765 DESMALE SOCIAL SERVICES L 10832 N 79TH AVE PEORIA Maricopa AZ 85345 623-444-2731 [email protected]

1237 not avail 13 Level II B/H Residence (non IMD), 439095 DESTINY SOBER LIVING 5306 NORTH 17TH AVENUE PHOENIX Maricopa AZ 85015 destinyhouse.biz

1242 not avail 13

Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Professional Counselor, Level III B/H Residential (non IMD), Licensed Independent Substance Abuse Counselor, Level I Residential Treatment Cen

658014 DEVEREUX ARIZONA RESPITE 6411 E EUGIE TERRACE SCOTTSDALE Maricopa AZ 85254 (480) 998-

2920 [email protected]

1245 not avail 13

Non-Emergency Transportation, Habilitation Provider, Level III B/H Residential (non IMD), Crisis Service Provider,

404615 DIVINE CARE LLC STE 144 6808 N DYSART

GLENDALE Maricopa AZ 85307 623-547-

4839 [email protected]

1251 not avail 13

Physician, Psychologist, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

425319 EBONY HOUSE CHILDRENS BH SUITE 100

1616 E INDIAN SCHOOL ROAD

PHOENIX Maricopa AZ 85016

1252 not avail 13

Physician, Psychologist, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

274629 EBONY HOUSE, INC 6222 S 13TH STREET PHOENIX Maricopa AZ 85042 6022764288

1253 not avail 13

Physician, Psychologist, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

319790 EBONY HOUSE, INC 6222 SO. 13TH STREET PHOENIX Maricopa AZ 85040 6022764288

1259 7598312 13Behavioral Health Outpatient Clinic, Crisis Service Provider,

622987 EMPACT-SPC 4425 W. OLIVE STE 194 GLENDALE Maricopa AZ 85302 4807841514 [email protected]

1262 9774455 13 Level II B/H Residence (non IMD), 445100 EUREKA IMPERIAL RESIDENCE 1740 S HERITAGE DR GILBERT Maricopa AZ 85296 480-264-

2647 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 17

MAG-353-000017

1264 not avail 13

Non-Emergency Transportation, Habilitation Provider, Community Service Agency,

567487 EXALTED HOMECARE, LLC 8838 WEST SHAW BUTTE DR PEORIA Maricopa AZ 85345

1269 not avail 13 Behavioral Health Outpatient Clinic, 655038 F.A.C.T.S. BEHAVIORAL HEA SUITE A 4

1122 EAST BUCKEYE ROAD

PHOENIX Maricopa AZ 85034

1270 not avail 13 Behavioral Health Outpatient Clinic, 153654 FAMILY INVOLVEMENT CENTER 1430 E INDIAN SCHOOL RD SUITE

230 PHOENIX Maricopa AZ 85014 6024124095 [email protected]

1278 not avail 13Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic,

830283 FLORENCE CRITTENTON SERVI 715 W MARIPOSA ST PHOENIX Maricopa AZ 85013 602-274-7318 [email protected]

1287 not avail 13

Level II B/H Residence (non IMD), Level III B/H Residential (non IMD), Behavioral Health Therapeutic Home,

755762 FSL Pathways - Surrey House 3367 W SURREY AVE PHOENIX Maricopa AZ 85029 602.285.1800 [email protected]

1288 not avail 13

Level II B/H Residence (non IMD), Level III B/H Residential (non IMD), Behavioral Health Therapeutic Home,

677230 FSL Pathways - Canyon House 13629 N. 21ST DRIVE PHOENIX Maricopa AZ 85029 602.285.1800 [email protected]

1289 not avail 13

Level II B/H Residence (non IMD), Level III B/H Residential (non IMD), Behavioral Health Therapeutic Home,

762171 FSL Pathways - Rios House 14633 N 55TH AVE GLENDALE Maricopa AZ 85026 602.285.180

0 [email protected]

1290 not avail 13

Level II B/H Residence (non IMD), Level III B/H Residential (non IMD), Behavioral Health Therapeutic Home,

740531 FSL Pathways - Columbine House 3126 W. COLUMBINE PHOENIX Maricopa AZ 85029 602.285.1800 [email protected]

1291 not avail 13

Level II B/H Residence (non IMD), Level III B/H Residential (non IMD), Behavioral Health Therapeutic Home,

844896 FSL Pathways - Evans House 3916 W EVANS PHEONIX Maricopa AZ 85053 602.285.1800 [email protected]

1299 not avail 13Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic,

501768 GRACE OF SERENITY LIVING 2950 E ROESER RD PHOENIX Maricopa AZ 85040 [email protected]

1301 not avail 13Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic,

816803 GRACE OF SERENITY LIVING 8340 N 86 LN PEORIA Maricopa AZ 85345 [email protected]

1311 7246616 13

Psychologist, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Professional Counselor,

280208 HEALTHY FUTURES SUITE 210 9449 N 90TH ST

SCOTTSDALE Maricopa AZ 85258 4804518500 [email protected]

1317 not avail 13Habilitation Provider, Behavioral Health Outpatient Clinic,

195678 HIGHER OCTAVE HEALING # 307 C200 E. CURRY ROAD

TEMPE Maricopa AZ 85281 [email protected]

1319 7951301 13Habilitation Provider, Behavioral Health Outpatient Clinic,

379489 HOPE GROUP LLC 4530 E MUIRWOOD DRIVE #103 PHOENIX Maricopa AZ 85048 4806106981

1324 not avail 13

Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Behavioral Health Therapeutic Home,

707911 HUMAN SERVICES CONSULTANT 2702 N 3RD ST STE 2000 PHOENIX Maricopa AZ 85004 [email protected]

1335 not avail 13

Habilitation Provider, Level II B/H Residence (non IMD), Level III B/H Residential (non IMD), Level I Residential Treatment Center Non Secure (non-IMD),

445542 INSPIRATIONS GROUP HOME L 1310 W DARREL RD PHOENIX Maricopa AZ 85041

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 18

MAG-353-000018

1336 not avail 13

Habilitation Provider, Level II B/H Residence (non IMD), Level III B/H Residential (non IMD), Level I Residential Treatment Center Non Secure (non-IMD),

445542 INSPIRATIONS GROUP HOME L 1305 W MALDONADO RD PHOENIX Maricopa AZ 85041

1337 not avail 13

Habilitation Provider, Level II B/H Residence (non IMD), Level III B/H Residential (non IMD), Level I Residential Treatment Center Non Secure (non-IMD),

445542 INSPIRATIONS GROUP HOME L 7113 S 7TH LANE PHOENIX Maricopa AZ 85041

1338 not avail 13

Habilitation Provider, Level II B/H Residence (non IMD), Level III B/H Residential (non IMD), Level I Residential Treatment Center Non Secure (non-IMD),

445542 INSPIRATIONS GROUP HOME L 1230 W DARREL RD PHOENIX Maricopa AZ 85041

(602) 323-2601 or cell (602) 794-7695

[email protected]

1341 not avail 13 Habilitation Provider, 208047 ITC PERSONAL IN-HOME LLC STE 110

1345 EAST MAIN STREET

MESA Maricopa AZ 85203 [email protected]

1349 not avail 13

Physician, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor

584965 JEWISH FAMILY & CHILDREN SUITE 1461840 N. 95TH AVENUE

PHOENIX Maricopa AZ 85037 (602) 256-0528 [email protected]

1350 4435535 13

Physician, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor

810459 JEWISH FAMILY & CHILDRENS 3306 W CATALINA DR PHOENIX Maricopa AZ 85017 6025678368 [email protected]

1357 not avail 13Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic,

891326 Olphiem Melanie The U Turn Foundation 1820 S LOS ALAMOS MESA Maricopa AZ 85204 (480) 545-6062 [email protected]

1361 not avail 13 Level II B/H Residence (non IMD), 618405 LAMAC HOUSE, LLC 4324 E FRIESS DRIVE PHOENIX Maricopa AZ 85032 [email protected]

1363 not avail 13

Laboratory, Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Licensed Professional Counselor, Behavioral Health Therapeutic Home,

669358 LATEEF BEHAVIORAL CARE HOME 8613 SOUTH 7TH DRIVE PHOENIX Maricopa AZ 85041 6023145903 [email protected]

1366 not avail 13 Habilitation Provider, 265146 LEAPS & BOUNDS THERAPY CE 1760 E PECOS RD GILBERT Maricopa AZ 85296 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 19

MAG-353-000019

1370 not avail 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

617183 LIFEWELL BEHAVIORAL WELL 2505 W. BERYL AVE. PHOENIX Maricopa AZ 850211641

602-808-2822 [email protected]

1371 not avail 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

617167 LIFEWELL BEHAVIORAL WELL 262 E. UNIVERISTY DR. MESA Maricopa AZ 852015932

602-808-2822 [email protected]

1372 not avail 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

056970 LIFEWELL BEHAVIORAL WELL 3222 N 37TH ST PHOENIX Maricopa AZ 85018 602-808-2822 [email protected]

1373 not avail 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

570903 LIFEWELL BEHAVIORAL WELL 3249 E PINCHOT AVENUE PHOENIX Maricopa AZ 85018 602-808-2822 [email protected]

1374 not avail 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

056962 LIFEWELL BEHAVIORAL WELL 3301 E. PINCHOT AVENUE PHOENIX Maricopa AZ 85018 602-808-2822 [email protected]

1375 not avail 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

806185 LIFEWELL BEHAVIORAL WELL 619 W SOUTHERN AVE MESA Maricopa AZ 85210 602-808-2822 [email protected]

1376 not avail 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

729551 LIFEWELL BEHAVIORAL WELL 621 W SOUTHERN AVE MESA Maricopa AZ 85210 602-808-2822 [email protected]

1377 not avail 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

829202 LIFEWELL BEHAVIORAL WELL 650 W SOUTHERN AVE MESA Maricopa AZ 85210 602-808-2822 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 20

MAG-353-000020

1378 not avail 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

617146 LIFEWELL BEHAVIORAL WELL STE. # 10725 W. APACHE TRAIL

PHOENIX Pinal AZ 851203958

602-808-2822 [email protected]

1379 not avail 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

617175 LIFEWELL BEHAVIORAL WELL STE. # 100 & 20040 E. MITCHELL DR.

PHOENIX Maricopa AZ 850122330

602-808-2822 [email protected]

1380 not avail 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

617159 LIFEWELL BEHAVIORAL WELL STE. # 2012222 S. DOBSON RD.

MESA Maricopa AZ 852026481

602-808-2822 [email protected]

1381 not avail 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

211240 LIFEWELL BHVRL WELLNESS 119 W. HIGHLAND PHOENIX Maricopa AZ 85013 602-808-2822 [email protected]

1384 not avail 13 Level III B/H Residential (non IMD), 636589 LIVING SPRINGS SANCTUARY 4929 E. LAUREL LANE SCOTTS

DALE Maricopa AZ 85284 6027237712 [email protected]

1390 not avail 13

Physician Assistant, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

719578 MARC CENTER BH SERVICES 4154 E ALDER AVE MESA Maricopa AZ 852061106

480-222-3250 [email protected]

1391 not avail 13

Physician Assistant, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

492834 MARC CENTER OF MESA INC I 422 WEST IVYGLEN ST. MESA Maricopa AZ 85201 480-222-3250 [email protected]

1392 not avail 13

Physician Assistant, Level II B/H Residence (non IMD), Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

583156 MARC CENTER OF MESA, INC 918 EAST MILLETT AVE. MESA Maricopa AZ 85204 480-222-3250 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 21

MAG-353-000021

1393 not avail 13

Physician Assistant, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

708703 MARC CENTER OF MESA, INC. 2664 E HERMOSA VISTA DR MESA Maricopa AZ 85213 480-222-3250 [email protected]

1394 not avail 13

Physician Assistant, Level II B/H Residence (non IMD), Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

706541 MARC CENTER- QUARTZ HOUSE 6433 E QUARTZ ST MESA Maricopa AZ 85215 480-222-3250 [email protected]

1395 not avail 13 Behavioral Health Outpatient Clinic, 240527 MARICOPA CLINIC E PHOENIX 1035 E JEFFERSON SUITE A PHOENIX Maricopa AZ 85004

1399 not avail 13

Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Professional Counselor, Community Service Agency,

417118 MARLEY HOUSE 9201 N 5TH STREET PHOENIX Maricopa AZ 85020 [email protected]

1400 not avail 13

Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Professional Counselor, Crisis Service Provider,

381400 MARY'S MISSION & DEVELOPMENTAL CENTER 736 N COUNTRY CLUB DR MESA Maricopa AZ 85201 480-844-

0011 [email protected]

1416 not avail 13 Behavioral Health Therapeutic Home, 907305 MUTWOL FAMILY ADULT THER. 7445 W CHERL DR PEORIA Maricopa AZ 85345 623-878-

0463 [email protected]

1418 not avail 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor, Tribal Traditional Services Practi

479794 NATIVE AMERICAN COMMUNITY MENTAL HEALTH, INC. STE. # 350

4520 N. CENTRAL AVE.

PHOENIX Maricopa AZ 85012 602-279-5262 [email protected]

1419 not avail 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor, Tribal Traditional Services Practi

588882 NATIVE AMERICAN CONNECTIONS, Inc. 3424 E VAN BUREN ST PHOENIX Maricopa AZ 85008 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 22

MAG-353-000022

1420 not avail 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor, Tribal Traditional Services Practi

151346 NATIVE AMERICAN CONNECTIONS, Inc. 4520 N CENTRAL AVE STE 100 PHOENIX Maricopa AZ 85012 [email protected]

1421 not avail 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor, Tribal Traditional Services Practi

053851 NATIVE AMERICAN CONNECTIONS, Inc. 636 N 3RD AVE PHOENIX Maricopa AZ 85003 [email protected]

1422 not avail 13

Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Independent Substance Abuse Counselor,

590001NCADD-National Council on Alcoholism and Drug Dependence, Greater Phoenix Area

4201 N 16TH STREET SUITE 140 PHOENIX Maricopa AZ 85016 (602) 264-

6214 [email protected]

1425 not avail 13 Habilitation Provider, 994039 NEUROLOGIC MUSIC THERAPY 2702 N. 3RD ST. SUITE #1000 PHOENIX Maricopa AZ 85004 [email protected]

1430 not avail 13

Behavioral Health Outpatient Clinic, Level III B/H Residential (non IMD),

728579 New Horizon Youth Homes Inc P.O. Box 2754 Chandler Maricopa AZ 85244 ( 480 ) 722-2730 [email protected]

1431 not avail 13

Behavioral Health Outpatient Clinic, Level III B/H Residential (non IMD),

507347 New Horizon Youth Homes Inc 75 W. BASELINE SUITE 4 GILBERT Maricopa AZ 85233 480-722-2730 [email protected]

1432 not avail 13

Behavioral Health Outpatient Clinic, Level III B/H Residential (non IMD),

437341 New Horizon Youth Homes Inc 760 E STOTTLER CHANDLER Maricopa AZ 85225 480-722-

2730 [email protected]

1433 not avail 13

Behavioral Health Outpatient Clinic, Level III B/H Residential (non IMD),

643695 New Horizon Youth Homes Inc 795 W. PARK AVE. CHANDLER Maricopa AZ 85225 480-722-

2730 [email protected]

1434 not avail 13

Behavioral Health Outpatient Clinic, Level III B/H Residential (non IMD),

479217 New Horizon Youth Homes Inc 8731 N. 83RD DR. PEORIA Maricopa AZ 85345 480-722-2730 [email protected]

1435 not avail 13

Behavioral Health Outpatient Clinic, Level III B/H Residential (non IMD),

485223 NEW HORIZON YOUTH HOMES Inc 11836 W ROSEWOOD EL MIRAGE Maricopa AZ 85335 480-722-

2730 [email protected]

1437 not avail 13Nurse Practitioner, Behavioral Health Outpatient Clinic,

589781 NEW HORIZONS COUNSELING STE 36151 W. OLIVE AVE

GLENDALE Maricopa AZ 85302 6239396567 [email protected]

1440 not avail 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance A

346058 NOVA-7022 N 48TH AVE 7022 N 48TH AVE GLENDALE Maricopa AZ 85301

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 23

MAG-353-000023

1441 not avail 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance A

810029 NOVA-7725 N. 43RD AVE STE. # 2004425 W. OLIVE AVE.

GLENDALE Maricopa AZ 85302

1443 not avail 13Level II B/H Residence (non IMD), Licensed Professional Counselor,

225726 OASIS CARE LIVING LLC 6917 S 11TH DRIVE PHOENIX Maricopa AZ 85041 602-334-1303 [email protected]

1448 not avail 13 Behavioral Health Outpatient Clinic, 523815 OMEGA COUNSELING & EDUCTN 5800 N 19TH AVE STE 110 PHOENIX Maricopa AZ 85015 [email protected]

1449 not avail 13

Non-Emergency Transportation, Habilitation Provider, Level II B/H Residence (non IMD), Level III B/H Residential (non IMD),

786824 ON ANGELS WINGS INC 23015 N 15TH AVE #105 PHOENIX Maricopa AZ 85027 [email protected]

1460 5659685 13Level I Residential Treatment Center-Secure (IMD),

593203 Southwest Children's Services Ind dba PARC PLACE 2190 N GRACE BLVD

2ND FLR SECURE RESIDENTAL

CHANDLER Maricopa AZ 85225 4809179301 [email protected]

1462 9183493 13

Physician, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic,

548651 PARTNERS IN RECOVER,LLC 4330 E UNIVERSITY DRIVE MESA Maricopa AZ 85205 602-650-1212 [email protected]

1463 not avail 13

Physician, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic,

440663 PARTNERS IN RECOVERY MESA 3450 N HIGLEY RD MESA Maricopa AZ 85215 [email protected]

1464 not avail 13

Physician, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic,

434333 PARTNERS IN RECOVERY, LLC STE 120,200,201,220,& 210 10240 N. 31ST AVE PHOENIX Maricopa AZ 85051 602-650-

1212 [email protected]

1465 not avail 13

Physician, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic,

447650 PARTNERS IN RECOVERY, LLC STE. # 121, 123 & 125 811 N. TEGNER

WICKENBURG Maricopa AZ 85390 602-650-

1212 [email protected]

1466 not avail 13

Physician, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic,

448088 PARTNERS IN RECOVERY, LLC SUITE 102,103,501,601,60211361 NORTH 99TH

PEORIA Maricopa AZ 85345 602-650-1212 [email protected]

1468 not avail 13 Level II B/H Residence (non IMD), 593684 PASTALINO MANOR LLC 1383 W KESLER LANE CHANDL

ER Maricopa AZ 85224 [email protected]

1470 not avail 13

Laboratory, Physician, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

432084 PEOPLE OF COLOR NET-CENTR 310 S. EXTENSION RD MESA Maricopa AZ 852101292 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 24

MAG-353-000024

1471 not avail 13

Laboratory, Physician, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

485908 PEOPLE OF COLOR NETWORK SUITE 565 & SUITE 555

4520 NORTH CENTRAL AVE

PHOENIX Maricopa AZ 85012 [email protected]

1474 4433119 13 Behavioral Health Outpatient Clinic, 341256 PHOENIX SHANTI GROUP INC 2345 W GLENDALE AVE PHOENIX Maricopa AZ 85021 [email protected]

1480 not avail 13

Non-Emergency Transportation, Level II B/H Residence (non IMD), Licensed Clinical Social Worker, Licensed Professional Counselor,

505305 PRATS RESIDENTAL BEH. 13603 N 30TH ST PHOENIX Maricopa AZ 85032 [email protected]

1486 not avail 13 Habilitation Provider, 473659 PRILEO HOME CARE 6210 E THOMAS RD # 100 SCOTTSDALE Maricopa AZ 85251

1490 not avail 13 Behavioral Health Therapeutic Home, 535567 PROVIDENCE OF ARIZONA 3602 WEST THOMAS ROAD PHOENIX Maricopa AZ 85019 [email protected]

1491 not avail 13

Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor

009563 PSA BEHAVIORAL HEALTH AGY 1005 N. 1ST STREET PHOENIX Maricopa AZ 85004 602.995.1767 [email protected]

1492 not avail 13

Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor

895378 PSA BEHAVIORAL HEALTH AGY 1243 E. BROADWAY RD. TEMPE Maricopa AZ 85282

1493 not avail 13

Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor

058603 PSA BEHAVIORAL HEALTH AGY 2255 W NORTHERN AVESUITES B105,109,A115

PHOENIX Maricopa AZ 85021

1494 not avail 13 Behavioral Health Outpatient Clinic, 278310 QUALITY CARE NETWORK BLDG B

5326 E. WASHINGTON ST

PHOENIX Maricopa AZ 85034 6024524687 [email protected]

1534 7798724 13 Psychologist, Habilitation Provider, 825557 SOUTHWEST AUTISM RESEARCH 300 NORTH 18TH STREET PHOENIX Maricopa AZ 85006 602-340-

8717 [email protected]

1535 not avail 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level I Subacute Facility (non-IMD), Crisis Service Provider,

404093 SOUTHWEST BEHAVIORAL H.S. SUITE 1 AND 2

1545 WEST BROADWAY

APACHE JUNCTION

Pinal AZ 85120

1536 not avail 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level I Subacute Facility (non-IMD), Crisis Service Provider,

726177 SOUTHWEST BEHAVIORAL HEAL 2042 NORTH 35TH AVENUE PHOENIX Maricopa AZ 85009

1537 not avail 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level I Subacute Facility (non-IMD), Crisis Service Provider,

556407 SOUTHWEST BEHAVIORAL HLTH 2632 E THOMAS ROAD PHOENIX Maricopa AZ 85016

1538 not avail 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level I Subacute Facility (non-IMD), Crisis Service Provider,

810714 SOUTHWEST BH SVCS-7TH AV. 1424 S. 7TH AV. BLDG, B PHOENIX Maricopa AZ 85007

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 25

MAG-353-000025

1539 not avail 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level I Subacute Facility (non-IMD), Crisis Service Provider,

594529 SOUTHWEST BHS TOBY HOUSE 303 W. WILLETTA ST. PHOENIX Maricopa AZ 85003

1541 not avail 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level I Subacute Facility (non-IMD), Crisis Service Provider,

316390 SOUTHWEST BHS-SHERIDAN 7626 E. SHERIDAN SCOTTSDALE Maricopa AZ 85251

1542 not avail 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level I Subacute Facility (non-IMD), Crisis Service Provider,

378960 SOUTHWEST BHS-THE HAVEN 2313 W YUMA PHOENIX Maricopa AZ 85009

1543 not avail 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level I Subacute Facility (non-IMD), Crisis Service Provider,

079906 SOUTHWEST BHS-VILLA AGAVE 7439 SOUTH SEVENTH STREET PHOENIX Maricopa AZ 85040

1545 not avail 13

Psychologist, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Professional Counselor,

199150 SOUTHWEST HUMAN DEVELOP 2850 N 24TH ST PHOENIX Maricopa AZ 85008

1546 not avail 13

Psychologist, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Professional Counselor,

042127 SOUTHWEST HUMAN DEVELOP 2850 N 24TH ST PHOENIX Maricopa AZ 85008

1547 not avail 13

Physician, Nurse Practitioner, DO- Physician Osteopath, Behavioral Health Outpatient Clinic,

545246 SOUTHWEST NETWORK 2444 E UNIVERSITY DR STE 150 PHOENIX Maricopa AZ 85034 [email protected]

1548 not avail 13

Physician, Nurse Practitioner, DO- Physician Osteopath, Behavioral Health Outpatient Clinic,

515676 SOUTHWEST NETWORK INC SAN BLDG A1465 W CHANDLER BLVD

CHANDLER Maricopa AZ 85224 [email protected]

1549 not avail 13

Physician, Nurse Practitioner, DO- Physician Osteopath, Behavioral Health Outpatient Clinic,

393484 SOUTHWEST NETWORK, INC SUITE 41

2150 S. COUNTRY CLUB DR

MESA Maricopa AZ 85210 [email protected]

1550 not avail 13

Physician, Nurse Practitioner, DO- Physician Osteopath, Behavioral Health Outpatient Clinic,

361554 SOUTHWEST NETWORK, INC. 4160 & 4170 N. 108TH AVE. PHOENIX Maricopa AZ 85037 [email protected]

1551 not avail 13

Physician, Nurse Practitioner, DO- Physician Osteopath, Behavioral Health Outpatient Clinic,

429438 SOUTHWEST NETWORK, INC. SAGUARO CLINIC3227 E BELL RD, STE 170

PHOENIX Maricopa AZ 85032 [email protected]

1552 not avail 13

Physician, Nurse Practitioner, DO- Physician Osteopath, Behavioral Health Outpatient Clinic,

423001 SOUTHWEST NETWORK-W CAMEL 4210 W BETHANY HOME RD PHOENIX Maricopa AZ 85019 [email protected]

1554 not avail 13 Habilitation Provider, 271653 SPECIAL NEEDS SERVICES 6954 E TETON CIRCLE MESA Maricopa AZ 85207 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 26

MAG-353-000026

1557 6140330 13

Physician, Nurse Practitioner, Level I Psych. Hospital, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

597883 ST LUKE'S BEHAVIORAL HOSP 1800 E. VAN BUREN STREET PHOENIX Maricopa AZ 85006 6022518535 [email protected]

1559 not avail 13 Habilitation Provider, 217921 STARLINK SERVICES LLC 10975 W MADISON ST AVONDALE Maricopa AZ 85323 602 384

7179 [email protected]

1562 9032516 13 Behavioral Health Outpatient Clinic, 473485 STONEWALL INSTITUTE, LLC STE 302 4020 N.

20TH ST PHOENIX Maricopa AZ 85016 6025356468 [email protected]

1563 not avail 13 Level III B/H Residential (non IMD), 430383 SUCCESSFUL JOURNEYS LLC 4434 N 153 LANE GOODYE

AR Maricopa AZ 85395 [email protected]

1566 not avail 13 Behavioral Health Outpatient Clinic, 785248 SUN VALLEY SERVICES, INC. 2706 E MAIN ST MESA Maricopa AZ 85213 480-644-

9039 [email protected]

1570 not avail 13 Behavioral Health Outpatient Clinic, 673331 SURESTEP PSYCHOLOGY SERVI SUITE 210

1220 SOUTH ALMA SCHOOL RD

MESA Maricopa AZ 85210 4806894316 [email protected]

1583 7407117 13

Behavioral Health Outpatient Clinic, Level I Residential treatment Center Non Secure (IMD),

388836 THE NEW FOUNDATION 1200 N 77TH ST SCOTTSDALE Maricopa AZ 85257 4809453302 [email protected]

1584 7407117 13

Behavioral Health Outpatient Clinic, Level I Residential treatment Center Non Secure (IMD),

356445 THE NEW FOUNDATION 1200 NORTH 77TH STREET SCOTTSDALE Maricopa AZ 85257 4809453302 [email protected]

1586 not avail 13 Behavioral Health Outpatient Clinic, 927410 THE RESOLUTION GROUP INC STE. # 1, 4, 7 & 8

623 W. SOUTHERN AVE.

MESA Maricopa AZ 85210 4809629288 [email protected]

1587 not avail 13Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic,

891326 THE U-TURN FOUNDATION 4005 E EDGEWOOD MESA Maricopa AZ 85206 4806341163 [email protected]

1589 not avail 13 Level II B/H Residence (non IMD), 839912 TILDA MANOR 1404 N ANANEA ST MESA Maricopa AZ 85207 [email protected]

1591 not avail 13 Level II B/H Residence (non IMD), 380058 TILDA MANOR 5985 S MACK CT GILBERT Maricopa AZ 85298 [email protected]

1592 not avail 13 Level II B/H Residence (non IMD), 582342 TILDA MANOR INC ISABELLA 3228 E ISABELLA AVE MESA Maricopa AZ 85208 [email protected]

1593 not avail 13 Level III B/H Residential (non IMD), 659300 TILDA MANOR INC. 6229 S MOCCASIN TRAIL GILBERT Maricopa AZ 85298 [email protected]

1594 not avail 13 Behavioral Health Outpatient Clinic 696351 TOUCHSTONE BEHAVIORAL HEA SUITE 35

2150 SOUTH COUNTRY CLUB R

MESA Maricopa AZ 85210

1608 not avail 13 Level III B/H Residential (non IMD), 274999 UNITY GROUP HOME, LLC 12406 W. SURREY AVE EL

MIRAGE Maricopa AZ 85335 623-546-0161 [email protected]

1612 not avail 13

Physician, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker,

579854 VALLE DEL SOL 4117 N. 17TH ST. PHOENIX Maricopa AZ 85016 6022586797 [email protected]

1613 not avail 13

Physician, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker,

580100 VALLE DEL SOL 4135 S. POWER RD. STE. # 108 MESA Maricopa AZ 85212 6022586797 [email protected]

1614 not avail 13

Physician, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker,

388606 VALLE DEL SOL, INC 3807 N 7TH STREET PHOENIX Maricopa AZ 85014 6022586797 [email protected]

1616 not avail 13

Physician, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker,

493467 VALLE DEL SOL, INC 10320 W MCDOWELL ROADSUITE G7024 D4011

AVONDALE Maricopa AZ 85392 6022586797 [email protected]

1617 not avail 13

Physician, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker,

347204 VALLE DEL SOL, INC-TEMPE 509 SOUTH ROCKFORD TEMPE Maricopa AZ 85281 6022586797 [email protected]

1618 not avail 13

Physician, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker,

053059 VALLE DEL SOL-1209 S.1ST 1209 S 1ST AVE PHOENIX Maricopa AZ 85003 6022586797 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 27

MAG-353-000027

1624 not avail 13

Certified Registered Nurse Anesthetist, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency, Licensed Independent Substance Abuse Counselor, Crisis Service Provider,

703543 VISIONS OF HOPE ARIZONA SUITE 202

601 WEST HATCHER RD.

PHOENIX Maricopa AZ 85028 602-404-1555 [email protected]

1627 not avail 13 Behavioral Health Outpatient Clinic, 727399 WHEELS ON THE BUS, INC. 330 E. ASPEN WAY GILBERT Maricopa AZ 85234 480-242-

5903 [email protected]

1629 not avail 13 Level II B/H Residence (non IMD), 667253 WINDING WOODS MANOR LLC 3691 SOUTH ASHLEY PLACE CHANDL

ER Maricopa AZ 85286 480-802-5753 [email protected]

1632 not avail 13

Level II B/H Residence (non IMD), Level I Residential Treatment Center-Secure (IMD),

455255 YDI TRANSITIONAL LVNG-B 1050-B NORTH 19TH STREET PHOENIX Maricopa AZ 85006 602-254-0884

1634 not avail 13

Behavioral Health Outpatient Clinic, Licensed Professional Counselor,

940264 YOUTH ADVOCATE PROGRAMS 4494 W PEORIA AVE STE 103 GLENDALE Maricopa AZ 85302 214-823-

8115 [email protected]

1635 not avail 13 Behavioral Health Outpatient Clinic, 622346 YOUTH AND FAMILIES FIRST STE. B106

5540 W. GLENDALE AVE.

GLENDALE Maricopa AZ 85301 [email protected]

1637 not avail 13

Level II B/H Residence (non IMD), Level I Residential Treatment Center-Secure (IMD),

355878 YOUTH DEVELOPMENT INST YOUTH DEVELOPMENT INST

1921 EAST PORTLAND

PHOENIX Maricopa AZ 85006 602-256-5300 [email protected]

1640 9701820 13 Behavioral Health Outpatient Clinic, 349127 YOUTH EVALUATION& TC,INC. 4414 N. 19TH AVE. PHOENIX Maricopa AZ 85015 4806611075 [email protected]

1645 not avail 13

Non-Emergency Transportation, Habilitation Provider, Community Service Agency,

567487 Craig Remi Exalted Homecare LLC 8838 West Shaw Butte Drive Peoria Maricopa AZ 85345 623-444-2318 [email protected]

1648 7437566 13

Physician, Physician Assistant, Nurse Practitioner, DO-Physician Osteopath, Level I Subacute Facility (non-IMD), Crisis Service Provider

585976 Bunn Annette CONNECTIONS AZ INC 903 N 2ND ST PHOENIX Maricopa AZ 85004 85004

1649 9290168 13

Physician, Physician Assistant, Nurse Practitioner, DO-Physician Osteopath, Level I Subacute Facility (non-IMD), Crisis Service Provider

143496 Bunuel Marta CONNECTIONS AZ INC 903 N 2ND ST PHOENIX Maricopa AZ 85004 85004

1650 9877621 13

Physician, Physician Assistant, Nurse Practitioner, DO-Physician Osteopath, Level I Subacute Facility (non-IMD), Crisis Service Provider

974883 Carr Antonio CONNECTIONS AZ INC 903 N 2ND ST PHOENIX Maricopa AZ 85004 85004

1651 4391500 13

Physician, Physician Assistant, Nurse Practitioner, DO-Physician Osteopath, Level I Subacute Facility (non-IMD), Crisis Service Provider

894932 Carson Chris CONNECTIONS AZ INC 903 N 2ND ST PHOENIX Maricopa AZ 85004 85004

1652 9476303 13

Physician, Physician Assistant, Nurse Practitioner, DO-Physician Osteopath, Level I Subacute Facility (non-IMD), Crisis Service Provider

143952 Cherukuri Naveen CONNECTIONS AZ INC 903 N 2ND ST PHOENIX Maricopa AZ 85004 85004

1653 7116820 13

Physician, Physician Assistant, Nurse Practitioner, DO-Physician Osteopath, Level I Subacute Facility (non-IMD), Crisis Service Provider

714354 Curry Vanessa CONNECTIONS AZ INC 903 N 2ND ST PHOENIX Maricopa AZ 85004 85004

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 28

MAG-353-000028

1654 9875556 13

Physician, Physician Assistant, Nurse Practitioner, DO-Physician Osteopath, Level I Subacute Facility (non-IMD), Crisis Service Provider

632705 Dingeldein Nathan CONNECTIONS AZ INC 903 N 2ND ST PHOENIX Maricopa AZ 85004 85004

1655 9696605 13

Physician, Physician Assistant, Nurse Practitioner, DO-Physician Osteopath, Level I Subacute Facility (non-IMD), Crisis Service Provider

946840 Fletcher Diana CONNECTIONS AZ INC 903 N 2ND ST PHOENIX Maricopa AZ 85004 85004

1656 9543729 13

Physician, Physician Assistant, Nurse Practitioner, DO-Physician Osteopath, Level I Subacute Facility (non-IMD), Crisis Service Provider

614358 Friday Jason CONNECTIONS AZ INC 903 N 2ND ST PHOENIX Maricopa AZ 85004 85004

1657 9947623 13

Physician, Physician Assistant, Nurse Practitioner, DO-Physician Osteopath, Level I Subacute Facility (non-IMD), Crisis Service Provider

260960 Helgason Kerstin CONNECTIONS AZ INC 903 N 2ND ST PHOENIX Maricopa AZ 85004 85004

1658 9355634 13

Physician, Physician Assistant, Nurse Practitioner, DO-Physician Osteopath, Level I Subacute Facility (non-IMD), Crisis Service Provider

702630 Horning Russell CONNECTIONS AZ INC 903 N 2ND ST PHOENIX Maricopa AZ 85004 85004

1659 9016692 13

Physician, Physician Assistant, Nurse Practitioner, DO-Physician Osteopath, Level I Subacute Facility (non-IMD), Crisis Service Provider

512303 Horton Barbara CONNECTIONS AZ INC 903 N 2ND ST PHOENIX Maricopa AZ 85004 85004

1660 9052685 13

Physician, Physician Assistant, Nurse Practitioner, DO-Physician Osteopath, Level I Subacute Facility (non-IMD), Crisis Service Provider

506360 Ishihara Sharon CONNECTIONS AZ INC 903 N 2ND ST PHOENIX Maricopa AZ 85004 85004

1661 7768613 13

Physician, Physician Assistant, Nurse Practitioner, DO-Physician Osteopath, Level I Subacute Facility (non-IMD), Crisis Service Provider

738049 Jain Shakuntala CONNECTIONS AZ INC 903 N 2ND ST PHOENIX Maricopa AZ 85004 85004

1662 9703157 13

Physician, Physician Assistant, Nurse Practitioner, DO-Physician Osteopath, Level I Subacute Facility (non-IMD), Crisis Service Provider

163281 Kando Karen CONNECTIONS AZ INC 903 N 2ND ST PHOENIX Maricopa AZ 85004 85004

1663 9425937 13

Physician, Physician Assistant, Nurse Practitioner, DO-Physician Osteopath, Level I Subacute Facility (non-IMD), Crisis Service Provider

610162 Karami-Sichani Mohamm CONNECTIONS AZ INC 903 N 2ND ST PHOENIX Maricopa AZ 85004 85004

1664 9098448 13

Physician, Physician Assistant, Nurse Practitioner, DO-Physician Osteopath, Level I Subacute Facility (non-IMD), Crisis Service Provider

489527 Keckeisen Grace CONNECTIONS AZ INC 903 N 2ND ST PHOENIX Maricopa AZ 85004 85004

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 29

MAG-353-000029

1665 9655848 13

Physician, Physician Assistant, Nurse Practitioner, DO-Physician Osteopath, Level I Subacute Facility (non-IMD), Crisis Service Provider

649962 Leslie Joshua CONNECTIONS AZ INC 903 N 2ND ST PHOENIX Maricopa AZ 85004 85004

1666 9621900 13

Physician, Physician Assistant, Nurse Practitioner, DO-Physician Osteopath, Level I Subacute Facility (non-IMD), Crisis Service Provider

216806 Hamilton Paige CONNECTIONS AZ INC 903 N 2ND ST PHOENIX Maricopa AZ 85004 85004

1667 9951481 13

Physician, Physician Assistant, Nurse Practitioner, DO-Physician Osteopath, Level I Subacute Facility (non-IMD), Crisis Service Provider

427126 Marcili Mariza CONNECTIONS AZ INC 903 N 2ND ST PHOENIX Maricopa AZ 85004 85004

1668 9262835 13

Physician, Physician Assistant, Nurse Practitioner, DO-Physician Osteopath, Level I Subacute Facility (non-IMD), Crisis Service Provider

221195 Morrow Brooke CONNECTIONS AZ INC 903 N 2ND ST PHOENIX Maricopa AZ 85004 85004

1669 9302744 13

Physician, Physician Assistant, Nurse Practitioner, DO-Physician Osteopath, Level I Subacute Facility (non-IMD), Crisis Service Provider

648925 Raby Andrea CONNECTIONS AZ INC 903 N 2ND ST PHOENIX Maricopa AZ 85004 85004

1670 9351520 13

Physician, Physician Assistant, Nurse Practitioner, DO-Physician Osteopath, Level I Subacute Facility (non-IMD), Crisis Service Provider

622337 Riggs Lisa CONNECTIONS AZ INC 903 N 2ND ST PHOENIX Maricopa AZ 85004 85004

1671 9446187 13

Physician, Physician Assistant, Nurse Practitioner, DO-Physician Osteopath, Level I Subacute Facility (non-IMD), Crisis Service Provider

868002 Sandford Poston Tracy CONNECTIONS AZ INC 903 N 2ND ST PHOENIX Maricopa AZ 85004 85004

1672 9768915 13

Physician, Physician Assistant, Nurse Practitioner, DO-Physician Osteopath, Level I Subacute Facility (non-IMD), Crisis Service Provider

702841 Sheroian Shirley CONNECTIONS AZ INC 903 N 2ND ST PHOENIX Maricopa AZ 85004 85004

1673 9361580 13

Physician, Physician Assistant, Nurse Practitioner, DO-Physician Osteopath, Level I Subacute Facility (non-IMD), Crisis Service Provider

987787 Sims Lisa CONNECTIONS AZ INC 903 N 2ND ST PHOENIX Maricopa AZ 85004 85004

1674 9870782 13

Physician, Physician Assistant, Nurse Practitioner, DO-Physician Osteopath, Level I Subacute Facility (non-IMD), Crisis Service Provider

620438 Smith Shawn CONNECTIONS AZ INC 903 N 2ND ST PHOENIX Maricopa AZ 85004 85004

1675 9186452 13

Physician, Physician Assistant, Nurse Practitioner, DO-Physician Osteopath, Level I Subacute Facility (non-IMD), Crisis Service Provider

351614 Tu Misty CONNECTIONS AZ INC 903 N 2ND ST PHOENIX Maricopa AZ 85004 85004

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 30

MAG-353-000030

1676 9901582 13

Physician, Physician Assistant, Nurse Practitioner, DO-Physician Osteopath, Level I Subacute Facility (non-IMD), Crisis Service Provider

587745 Underwood Stacy CONNECTIONS AZ INC 903 N 2ND ST PHOENIX Maricopa AZ 85004 85004

1677 9900740 13

Physician, Physician Assistant, Nurse Practitioner, DO-Physician Osteopath, Level I Subacute Facility (non-IMD), Crisis Service Provider

323283 Williamson Robert CONNECTIONS AZ INC 903 N 2ND ST PHOENIX Maricopa AZ 85004 85004

1678 9955604 13

Physician, Physician Assistant, Nurse Practitioner, DO-Physician Osteopath, Level I Subacute Facility (non-IMD), Crisis Service Provider

629248 Zerrudo Chito CONNECTIONS AZ INC 903 N 2ND ST PHOENIX Maricopa AZ 85004 85004

1679 4507084 13

Level I Psych. Hospital, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

1659364396 Amezcua-Patiño Lauro Aurora Behavioral Healthcare-Tempe 6350 SOUTH MAPLE AVENUE TEMPE Maricopa AZ 85283 480-345-

5400 [email protected]

1680 9900410 13

Level I Psych. Hospital, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

499134 Bracamonte Roberto Aurora Behavioral Healthcare-Tempe 6350 SOUTH MAPLE AVENUE TEMPE Maricopa AZ 85283 480-345-

5400 [email protected]

1681 4496332 13

Level I Psych. Hospital, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

1568529683 Espinoza Brian Aurora Behavioral Healthcare-Tempe 6350 SOUTH MAPLE AVENUE TEMPE Maricopa AZ 85283 480-345-5400 [email protected]

1682 9998092 13

Level I Psych. Hospital, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

194253 Newman Martin Aurora Behavioral Healthcare-Tempe 6350 SOUTH MAPLE AVENUE TEMPE Maricopa AZ 85283 480-345-5400 [email protected]

1683 9256695 13

Level I Psych. Hospital, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

166415 Raymond Zinzi Aurora Behavioral Healthcare-Tempe 6350 SOUTH MAPLE AVENUE TEMPE Maricopa AZ 85283 480-345-5400 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 31

MAG-353-000031

1684 9471702 13

Level I Psych. Hospital, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

558601 Reyes Jose Aurora Behavioral Healthcare-Tempe 6350 SOUTH MAPLE AVENUE TEMPE Maricopa AZ 85283 480-345-5400 [email protected]

1685 9729066 13

Level I Psych. Hospital, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

433722 Sbiliris Bill Aurora Behavioral Healthcare-Tempe 6350 SOUTH MAPLE AVENUE TEMPE Maricopa AZ 85283 480-345-5400 [email protected]

1686 5795034 13

Level I Psych. Hospital, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

335720 Topete Reyes Aurora Behavioral Healthcare-Tempe 6350 SOUTH MAPLE AVENUE TEMPE Maricopa AZ 85283 480-345-5400 [email protected]

1687 9126549 13

Level I Psych. Hospital, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

445555 Valbuena Paul Aurora Behavioral Healthcare-Tempe 6350 SOUTH MAPLE AVENUE TEMPE Maricopa AZ 85283 480-345-5400 [email protected]

1688 9680449 13

Level I Psych. Hospital, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

452281 Aulakh Vikram Aurora Behavioral Healthcare-Tempe 6350 SOUTH MAPLE AVENUE TEMPE Maricopa AZ 85283 480-345-5400 [email protected]

1689 9355129 13

Level I Psych. Hospital, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

168154 Chaurasia Shruti Aurora Behavioral Healthcare-Tempe 6350 SOUTH MAPLE AVENUE TEMPE Maricopa AZ 85283 480-345-5400 [email protected]

1690 4358856 13

Level I Psych. Hospital, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

139750 Gill Satpreet Aurora Behavioral Healthcare-Tempe 6350 SOUTH MAPLE AVENUE TEMPE Maricopa AZ 85283 480-345-5400 [email protected]

1691 4400732 13

Level I Psych. Hospital, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

855843 Emileane Laura Aurora Behavioral Healthcare-Tempe 6350 SOUTH MAPLE AVENUE TEMPE Maricopa AZ 85283 480-345-5400 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 32

MAG-353-000032

1692 not avail 13 Behavioral Health Outpatient Clinic 163281 Kando Karen TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE Phoenix Maricopa AZ 85053 602-732-

4950 [email protected]

1693 not avail 13 Behavioral Health Outpatient Clinic, 788507 Hines Derrick TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE Phoenix Maricopa AZ 85053 602-732-

4950 [email protected]

1694 not avail 13 Behavioral Health Outpatient Clinic, 410481 Silverman William TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE Phoenix Maricopa AZ 85053 602-732-

4950 [email protected]

1695 not avail 13 Behavioral Health Outpatient Clinic, 234542 Houshang Aminian TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE Phoenix Maricopa AZ 85053 602-732-

4950 [email protected]

1696 not avail 13 Behavioral Health Outpatient Clinic, 713381 Bochtler Elizabeth TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE Phoenix Maricopa AZ 85053 602-732-

4950 [email protected]

1697 not avail 13 Behavioral Health Outpatient Clinic, 271461 Patel Vinod TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE Phoenix Maricopa AZ 85053 602-732-

4950 [email protected]

1699 not avail 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level I Subacute Facility (non-IMD), Crisis Service Provider,

292904 Abhyanker Vimal Southwest BH Services 1424 S. 7th Avenue Bldg. C Phoenix Maricopa AZ 85007-

3902602-258-3600 [email protected]

1700 not avail 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level I Subacute Facility (non-IMD), Crisis Service Provider,

539637 Bohanske Robert Southwest BH Services

1701 not avail 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level I Subacute Facility (non-IMD), Crisis Service Provider,

467320 Bridge Marianna Southwest BH Services 1255 W. Baseline Suite 138 Mesa Maricopa AZ 85202-5821

480-820-5422 [email protected]

1702 not avail 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level I Subacute Facility (non-IMD), Crisis Service Provider,

451435 Buckner Nancy Southwest BH Services 10220 N. 31st Ave Suite 101 Phoenix Maricopa AZ 85051-9562

602-997-2233 [email protected]

1704 not avail 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level I Subacute Facility (non-IMD), Crisis Service Provider,

323291 Farrey Nicholas Southwest BH Services 1424 S. 7th Avenue Bldg. A Phoenix Maricopa AZ 85007-3902

602-257-1558 [email protected]

1705 not avail 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level I Subacute Facility (non-IMD), Crisis Service Provider,

513847 Hannallah Hoda Southwest BH Services 2632 E. Thomas Road Phoenix Maricopa AZ 85016-8220

602-957-2507 [email protected]

1706 not avail 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level I Subacute Facility (non-IMD), Crisis Service Provider,

235227 Holzman Bruce Southwest BH Services 4420 S. 32nd St Phoenix Maricopa AZ 85040-2804

602-268-8748 [email protected]

1707 not avail 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level I Subacute Facility (non-IMD), Crisis Service Provider,

686998 Hughes Sukanlaya Southwest BH Services 10220 N. 31st Ave Suite 101 Phoenix Maricopa AZ 85051-9562

602-997-2233 [email protected]

1708 not avail 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level I Subacute Facility (non-IMD), Crisis Service Provider,

549857 Jablonski Joanna Southwest BH Services

1709 4657479 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level I Subacute Facility (non-IMD), Crisis Service Provider,

451485 Kahane Amnon Southwest BH Services 10220 N. 31st Ave Suite 101 Phoenix Maricopa AZ 85051-9562

602-997-2233 [email protected]

1710 not avail 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level I Subacute Facility (non-IMD), Crisis Service Provider,

100234 Kilgore Heath Southwest BH Services 1424 S. 7th Avenue Bldg. A Phoenix Maricopa AZ 85007-3902

602-257-1558

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 33

MAG-353-000033

1711 not avail 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level I Subacute Facility (non-IMD), Crisis Service Provider,

260516 Mehta Purnima Southwest BH Services 1424 S. 7th Avenue Bldg. A Phoenix Maricopa AZ 85007-3902

602-257-1558 [email protected]

1712 not avail 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level I Subacute Facility (non-IMD), Crisis Service Provider,

458004 Morton Joyce Southwest BH Services 1545 W. Broadway Ave Suites 101-103

Apache Junction Gila AZ 85220-

7658480-671-3032 [email protected]

1713 7266844 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level I Subacute Facility (non-IMD), Crisis Service Provider,

910655 Partington Deborah Southwest BH Services 1424 S. 7th Avenue Bldg. A Phoenix Maricopa AZ 85007-3902

602-257-1558 [email protected]

1714 not avail 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level I Subacute Facility (non-IMD), Crisis Service Provider,

276958 Pathan Naeem Southwest BH Services 1255 W. Baseline Suite 138 Mesa Maricopa AZ 85202-5821

480-820-5422 [email protected]

1715 not avail 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level I Subacute Facility (non-IMD), Crisis Service Provider,

819899 Pigeon Gail Southwest BH Services 4420 S. 32nd St Phoenix Maricopa AZ 85040-2804

602-268-8748 [email protected]

1716 not avail 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level I Subacute Facility (non-IMD), Crisis Service Provider,

386916 Reesal Robin Southwest BH Services 1255 W. Baseline Suite 138 Mesa Maricopa AZ 85202-5821

480-820-5422 [email protected]

1717 not avail 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level I Subacute Facility (non-IMD), Crisis Service Provider,

894966 Ryer David Southwest BH Services 1424 S. 7th Avenue Bldg. C Phoenix Maricopa AZ 85007-3902

602-258-3600 [email protected]

1718 not avail 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level I Subacute Facility (non-IMD), Crisis Service Provider,

216136 Semino Houshang Southwest BH Services 10220 N. 31st Ave Suite 101 Phoenix Maricopa AZ 85051-9562

602-997-2233 [email protected]

1719 9680913 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level I Subacute Facility (non-IMD), Crisis Service Provider,

612635 Simmons Shakira Southwest BH Services 1545 W. Broadway Ave Suites 101-103

Apache Junction Gila AZ 85220-

7658480-671-3032 [email protected]

1720 not avail 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level I Subacute Facility (non-IMD), Crisis Service Provider,

544515 Small Lynette Southwest BH Services 2632 E. Thomas Road Phoenix Maricopa AZ 85016-8220

602-957-2507 [email protected]

1721 not avail 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level I Subacute Facility (non-IMD), Crisis Service Provider,

685307 Tobin Cindy Southwest BH Services 10220 N. 31st Ave Suite 101 Phoenix Maricopa AZ 85051-9562

602-997-2233 [email protected]

1722 not avail 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level I Subacute Facility (non-IMD), Crisis Service Provider,

620438 Smith Shawn Southwest BH Services 3450 N 3rd Street Phoenix Maricopa AZ 85012 602-265-8338 [email protected]

1723 not avail 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level I Subacute Facility (non-IMD), Crisis Service Provider,

731853 Zeig Jeffrey Southwest BH Services 3450 N 3rd Street Phoenix Maricopa AZ 85012 602-265-8338

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 34

MAG-353-000034

1724 not avail 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level I Subacute Facility (non-IMD), Crisis Service Provider,

605659 Rassiwala Farida Southwest BH Services 3450 N 3rd Street Phoenix Maricopa AZ 85012 602-265-8338 [email protected]

1725 not avail 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level I Subacute Facility (non-IMD), Crisis Service Provider,

496613 Sarko Genowefa (Aga) Southwest BH Services 3450 N 3rd Street Phoenix Maricopa AZ 85012 602-265-

8338 [email protected]

1726 not avail 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level I Subacute Facility (non-IMD), Crisis Service Provider,

563752 Brueschke Erich Southwest BH Services 3450 N 3rd Street Phoenix Maricopa AZ 85012 602-265-8338 [email protected]

1727 not avail 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level I Subacute Facility (non-IMD), Crisis Service Provider,

638554 Schepp Lavern Southwest BH Services 3450 N 3rd Street Phoenix Maricopa AZ 85012 602-265-8338 [email protected]

1728 not avail 13

Laboratory, Physician, Nurse Practitioner, Non-Emergency Transportation, DO- Physician Osteopath, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level III B/H Residential (non IMD), Level I Subacute Facility (non-IMD), Crisis Servi

196467 Greenberg David Community Bridges 2770 E. VAN BUREN Phoenix Maricopa AZ 85008 6022739999

1729 not avail 13

Laboratory, Physician, Nurse Practitioner, Non-Emergency Transportation, DO- Physician Osteopath, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level III B/H Residential (non IMD), Level I Subacute Facility (non-IMD), Crisis Servi

395089 Loo James Community Bridges 2770 E. VAN BUREN Phoenix Maricopa AZ 85008

1730 not avail 13

Laboratory, Physician, Nurse Practitioner, Non-Emergency Transportation, DO- Physician Osteopath, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level III B/H Residential (non IMD), Level I Subacute Facility (non-IMD), Crisis Servi

494616 Sadr Payam Community Bridges 2770 E. VAN BUREN Phoenix Maricopa AZ 85008

1731 not avail 13

Laboratory, Physician, Nurse Practitioner, Non-Emergency Transportation, DO- Physician Osteopath, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level III B/H Residential (non IMD), Level I Subacute Facility (non-IMD), Crisis Servi

271544 Sucher Michel Community Bridges 2770 E. VAN BUREN Phoenix Maricopa AZ 85008

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 35

MAG-353-000035

1732 not avail 13

Laboratory, Physician, Nurse Practitioner, Non-Emergency Transportation, DO- Physician Osteopath, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level III B/H Residential (non IMD), Level I Subacute Facility (non-IMD), Crisis Servi

335720 Topeta Reyes Community Bridges 2770 E. VAN BUREN Phoenix Maricopa AZ 85008

1733 not avail 13

Laboratory, Physician, Nurse Practitioner, Non-Emergency Transportation, DO- Physician Osteopath, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level III B/H Residential (non IMD), Level I Subacute Facility (non-IMD), Crisis Servi

526211 Best Thomas Community Bridges 2770 E. VAN BUREN Phoenix Maricopa AZ 85008

1734 not avail 13

Laboratory, Physician, Nurse Practitioner, Non-Emergency Transportation, DO- Physician Osteopath, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level III B/H Residential (non IMD), Level I Subacute Facility (non-IMD), Crisis Servi

620854 Davis Bryan Community Bridges 2770 E. VAN BUREN Phoenix Maricopa AZ 85008

1735 not avail 13

Laboratory, Physician, Nurse Practitioner, Non-Emergency Transportation, DO- Physician Osteopath, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level III B/H Residential (non IMD), Level I Subacute Facility (non-IMD), Crisis Servi

681530 Phanse Kay Community Bridges 2770 E. VAN BUREN Phoenix Maricopa AZ 85008

1736 not avail 13

Laboratory, Physician, Nurse Practitioner, Non-Emergency Transportation, DO- Physician Osteopath, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level III B/H Residential (non IMD), Level I Subacute Facility (non-IMD), Crisis Servi

327313 Davidowicz Martha Community Bridges 2770 E. VAN BUREN Phoenix Maricopa AZ 85008

1737 not avail 13

Laboratory, Physician, Nurse Practitioner, Non-Emergency Transportation, DO- Physician Osteopath, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level III B/H Residential (non IMD), Level I Subacute Facility (non-IMD), Crisis Servi

529255 Kazaka Katherine Community Bridges 2770 E. VAN BUREN Phoenix Maricopa AZ 85008

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 36

MAG-353-000036

1738 not avail 13

Laboratory, Physician, Nurse Practitioner, Non-Emergency Transportation, DO- Physician Osteopath, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level III B/H Residential (non IMD), Level I Subacute Facility (non-IMD), Crisis Servi

751372 Ramirez Richelle Community Bridges 2770 E. VAN BUREN Phoenix Maricopa AZ 85008

1739 not avail 13

Laboratory, Physician, Nurse Practitioner, Non-Emergency Transportation, DO- Physician Osteopath, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level III B/H Residential (non IMD), Level I Subacute Facility (non-IMD), Crisis Servi

617852 Vaughn Kimara Community Bridges 2770 E. VAN BUREN Phoenix Maricopa AZ 85008

1740 not avail 13

Laboratory, Physician, Nurse Practitioner, Non-Emergency Transportation, DO- Physician Osteopath, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level III B/H Residential (non IMD), Level I Subacute Facility (non-IMD), Crisis Servi

982604 Osgood Margaret Community Bridges 2770 E. VAN BUREN Phoenix Maricopa AZ 85008

1741 not avail 13

Laboratory, Physician, Nurse Practitioner, Non-Emergency Transportation, DO- Physician Osteopath, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level III B/H Residential (non IMD), Level I Subacute Facility (non-IMD), Crisis Servi

559260 Albarracin Janette Community Bridges 2770 E. VAN BUREN Phoenix Maricopa AZ 85008

1742 not avail 13

Laboratory, Physician, Nurse Practitioner, Non-Emergency Transportation, DO- Physician Osteopath, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level III B/H Residential (non IMD), Level I Subacute Facility (non-IMD), Crisis Servi

524276 Staires Marilyn Community Bridges 2770 E. VAN BUREN Phoenix Maricopa AZ 85008

1743 not avail 13

Laboratory, Physician, Nurse Practitioner, Non-Emergency Transportation, DO- Physician Osteopath, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level III B/H Residential (non IMD), Level I Subacute Facility (non-IMD), Crisis Servi

305123 Rankovic Alecia Community Bridges 2770 E. VAN BUREN Phoenix Maricopa AZ 85008

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 37

MAG-353-000037

1744 not avail 13

Laboratory, Physician, Nurse Practitioner, Non-Emergency Transportation, DO- Physician Osteopath, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level III B/H Residential (non IMD), Level I Subacute Facility (non-IMD), Crisis Servi

312941 Prey Stephen Community Bridges 2770 E. VAN BUREN Phoenix Maricopa AZ 85008

1745 not avail 13

Laboratory, Physician, Nurse Practitioner, Non-Emergency Transportation, DO- Physician Osteopath, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level III B/H Residential (non IMD), Level I Subacute Facility (non-IMD), Crisis Servi

777823 Batchelor Holly Community Bridges 2770 E. VAN BUREN Phoenix Maricopa AZ 85008

1746 not avail 13

Laboratory, Physician, Nurse Practitioner, Non-Emergency Transportation, DO- Physician Osteopath, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level III B/H Residential (non IMD), Level I Subacute Facility (non-IMD), Crisis Servi

907917 Sanchez Victoria Community Bridges 2770 E. VAN BUREN Phoenix Maricopa AZ 85008

1747 not avail 13

Laboratory, Physician, Nurse Practitioner, Non-Emergency Transportation, DO- Physician Osteopath, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level III B/H Residential (non IMD), Level I Subacute Facility (non-IMD), Crisis Servi

453503 Devereaux Deanette Community Bridges 2770 E. VAN BUREN Phoenix Maricopa AZ 85008

1748 not avail 13

Laboratory, Physician, Nurse Practitioner, Non-Emergency Transportation, DO- Physician Osteopath, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level III B/H Residential (non IMD), Level I Subacute Facility (non-IMD), Crisis Servi

496764 Skinner Sheryl Community Bridges 2770 E. VAN BUREN Phoenix Maricopa AZ 85008

1749 not avail 13

Laboratory, Physician, Nurse Practitioner, Non-Emergency Transportation, DO- Physician Osteopath, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level III B/H Residential (non IMD), Level I Subacute Facility (non-IMD), Crisis Servi

305123 Zak Svetlana Community Bridges 2770 E. VAN BUREN Phoenix Maricopa AZ 85008

1751 not avail 13 Psychologist, 397359 Cramer Kathleen CRAMER, KATHLEEN 1845 S Dobson Rd Ste 109 Mesa Maricopa AZ 85202 480-466-7010

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 38

MAG-353-000038

1752 not avail 13 Psychologist, 137245 Pereyra Rosalia PEREYRA, ROSALIA 2415 N 24th St Phoenix Maricopa AZ 85008 602-314-4475 [email protected]

1754 7127745 13Licensed Professional Counselor, Crisis Service Provider,

839962 Ohrt Lisa Crisis Preparation and Recovery Inc 2120 S McClintock Rd Tempe Maricopa AZ 85251 4808040326 [email protected]

1755 not avail 13 Level II B/H Residence (non IMD), 667253 Kungu Jane WINDING WOODS MANOR LLC 3691 SOUTH ASHLEY PLACE CHANDL

ER Maricopa AZ 85286 480-802-5753 [email protected]

1756 not avail 13 Level II B/H Residence (non IMD), 667253 Kungu Gitau WINDING WOODS MANOR LLC 3691 SOUTH ASHLEY PLACE CHANDL

ER Maricopa AZ 85286 480-802-5753 [email protected]

1757 not avail 13 Level II B/H Residence (non IMD), 667253 Gitau Julius WINDING WOODS MANOR LLC 3691 SOUTH ASHLEY PLACE CHANDL

ER Maricopa AZ 85286 480-802-5753 [email protected]

1758 not avail 13 Level II B/H Residence (non IMD), 667253 Spane Celeste WINDING WOODS MANOR LLC 3691 SOUTH ASHLEY PLACE CHANDL

ER Maricopa AZ 85286 480-802-5753 [email protected]

1759 not avail 13 Level II B/H Residence (non IMD), 667253 Ayodele Sade WINDING WOODS MANOR LLC 3691 SOUTH ASHLEY PLACE CHANDL

ER Maricopa AZ 85286 480-802-5753 [email protected]

1760 not avail 13 Level II B/H Residence (non IMD), 667253 Lateef Maryam WINDING WOODS MANOR LLC 3691 SOUTH ASHLEY PLACE CHANDL

ER Maricopa AZ 85286 480-802-5753 [email protected]

1761 not avail 13

Physician, Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Crisis Service Provider,

213558 Babcock Beth Crisis Preparation and Recovery, Inc. 2120 S McClintock Rd SUITE 105 TEMPE Maricopa AZ 85282 480-804-

0326 [email protected]

1762 not avail 13

Physician, Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Crisis Service Provider,

695106 Baker Ashonda Crisis Preparation and Recovery, Inc. 2120 S McClintock Rd SUITE 105 TEMPE Maricopa AZ 85282 480-804-

0326 [email protected]

1763 7454693 13

Physician, Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Crisis Service Provider,

859051 Boylan Michael Crisis Preparation and Recovery, Inc. 2120 S McClintock Rd SUITE 105 TEMPE Maricopa AZ 85282 480-804-

0326 [email protected]

1764 7459581 13

Physician, Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Crisis Service Provider,

840761 Call Randy Crisis Preparation and Recovery, Inc. 2120 S McClintock Rd SUITE 105 TEMPE Maricopa AZ 85282 480-804-

0326 [email protected]

1767 7535945 13

Physician, Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Crisis Service Provider,

154463 Corsbie Natalie Crisis Preparation and Recovery, Inc. 2120 S McClintock Rd SUITE 105 TEMPE Maricopa AZ 85282 480-804-

0326 [email protected]

1768 not avail 13

Physician, Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Crisis Service Provider,

304940 Gerster Joanne Crisis Preparation and Recovery, Inc. 2120 S McClintock Rd SUITE 105 TEMPE Maricopa AZ 85282 480-804-

0326 [email protected]

1769 not avail 13

Physician, Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Crisis Service Provider,

487656 Hash Jesse Crisis Preparation and Recovery, Inc. 2120 S McClintock Rd SUITE 105 TEMPE Maricopa AZ 85282 480-804-

0326 [email protected]

1771 9710639 13

Physician, Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Crisis Service Provider,

268816 Howe Julie Crisis Preparation and Recovery, Inc. 2120 S McClintock Rd SUITE 105 TEMPE Maricopa AZ 85282 480-804-

0326 [email protected]

1772 9515694 13

Physician, Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Crisis Service Provider,

620294 Jensen Charlene Crisis Preparation and Recovery, Inc. 2120 S McClintock Rd SUITE 105 TEMPE Maricopa AZ 85282 480-804-

0326 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 39

MAG-353-000039

1773 9157558 13

Physician, Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Crisis Service Provider,

393221 Jordan Tiffany Crisis Preparation and Recovery, Inc. 2120 S McClintock Rd SUITE 105 TEMPE Maricopa AZ 85282 480-804-

0326 [email protected]

1774 9513105 13

Physician, Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Crisis Service Provider,

282035 Kiefer Bridget Crisis Preparation and Recovery, Inc. 2120 S McClintock Rd SUITE 105 TEMPE Maricopa AZ 85282 480-804-

0326 [email protected]

1775 not avail 13

Physician, Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Crisis Service Provider,

646341 Kohl David Crisis Preparation and Recovery, Inc. 2120 S McClintock Rd SUITE 105 TEMPE Maricopa AZ 85282 480-804-

0326 [email protected]

1776 not avail 13

Physician, Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Crisis Service Provider,

applied Lee Shin-Pei Crisis Preparation and Recovery, Inc. 2120 S McClintock Rd SUITE 105 TEMPE Maricopa AZ 85282 480-804-

0326 [email protected]

1777 not avail 13

Physician, Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Crisis Service Provider,

485387 Lindner Edward Crisis Preparation and Recovery, Inc. 2120 S McClintock Rd SUITE 105 TEMPE Maricopa AZ 85282 480-804-

0326 [email protected]

1778 not avail 13

Physician, Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Crisis Service Provider,

427673 Lopez Marlene Crisis Preparation and Recovery, Inc. 2120 S McClintock Rd SUITE 105 TEMPE Maricopa AZ 85282 480-804-

0326 [email protected]

1779 9573947 13

Physician, Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Crisis Service Provider,

702526 Lozon Anne Crisis Preparation and Recovery, Inc. 2120 S McClintock Rd SUITE 105 TEMPE Maricopa AZ 85282 480-804-

0326 [email protected]

1780 7976953 13

Physician, Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Crisis Service Provider,

193124 Madden Shannon Crisis Preparation and Recovery, Inc. 2120 S McClintock Rd SUITE 105 TEMPE Maricopa AZ 85282 480-804-

0326 [email protected]

1781 7894572 13

Physician, Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Crisis Service Provider,

859225 Martin Pamela Crisis Preparation and Recovery, Inc. 2120 S McClintock Rd SUITE 105 TEMPE Maricopa AZ 85282 480-804-

0326 [email protected]

1782 9015837 13

Physician, Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Crisis Service Provider,

709592 Martin Shannon Crisis Preparation and Recovery, Inc. 2120 S McClintock Rd SUITE 105 TEMPE Maricopa AZ 85282 480-804-

0326 [email protected]

1783 not avail 13

Physician, Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Crisis Service Provider,

538371 Moore Gary Crisis Preparation and Recovery, Inc. 2120 S McClintock Rd SUITE 105 TEMPE Maricopa AZ 85282 480-804-

0326 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 40

MAG-353-000040

1784 9165589 13

Physician, Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Crisis Service Provider,

371595 O'Brien Kari Crisis Preparation and Recovery, Inc. 2120 S McClintock Rd SUITE 105 TEMPE Maricopa AZ 85282 480-804-

0326 [email protected]

1785 9643713 13

Physician, Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Crisis Service Provider,

212401 O'Connor Pattie Crisis Preparation and Recovery, Inc. 2120 S McClintock Rd SUITE 105 TEMPE Maricopa AZ 85282 480-804-

0326 [email protected]

1786 not avail 13

Physician, Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Crisis Service Provider,

133643 Oppenheim Tracey Crisis Preparation and Recovery, Inc. 2120 S McClintock Rd SUITE

105 TEMPE Maricopa AZ 85282 480-804-0326 [email protected]

1787 7980804 13

Physician, Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Crisis Service Provider,

787757 Peterson Lana Crisis Preparation and Recovery, Inc. 2120 S McClintock Rd SUITE 105 TEMPE Maricopa AZ 85282 480-804-

0326 [email protected]

1788 not avail 13

Physician, Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Crisis Service Provider,

386925 Prosser Sheila Crisis Preparation and Recovery, Inc. 2120 S McClintock Rd SUITE 105 TEMPE Maricopa AZ 85282 480-804-

0326 [email protected]

1789 5378730 13

Physician, Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Crisis Service Provider,

854811 Ruiz Ester Crisis Preparation and Recovery, Inc. 2120 S McClintock Rd SUITE 105 TEMPE Maricopa AZ 85282 480-804-

0326 [email protected]

1790 not avail 13

Physician, Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Crisis Service Provider,

864555 Sanchez-Kasicki Diana Crisis Preparation and Recovery, Inc. 2120 S McClintock Rd SUITE

105 TEMPE Maricopa AZ 85282 480-804-0326 [email protected]

1791 7759393 13

Physician, Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Crisis Service Provider,

534754 Sanderl Joanne Crisis Preparation and Recovery, Inc. 2120 S McClintock Rd SUITE 105 TEMPE Maricopa AZ 85282 480-804-

0326 [email protected]

1792 not avail 13

Physician, Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Crisis Service Provider,

386865 Slavsky Matt Crisis Preparation and Recovery, Inc. 2120 S McClintock Rd SUITE 105 TEMPE Maricopa AZ 85282 480-804-

0326 [email protected]

1793 not avail 13

Physician, Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Crisis Service Provider,

364944 Steinbrink Bruce Crisis Preparation and Recovery, Inc. 2120 S McClintock Rd SUITE 105 TEMPE Maricopa AZ 85282 480-804-

0326 [email protected]

1794 not avail 13

Physician, Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Crisis Service Provider,

819493 Williams Ann Crisis Preparation and Recovery, Inc. 2120 S McClintock Rd SUITE 105 TEMPE Maricopa AZ 85282 480-804-

0326 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 41

MAG-353-000041

1796 not avail 13

Physician, Nurse Practitioner, DO- Physician Osteopath, Behavioral Health Outpatient Clinic,

306509 Ayub Navid Southwest Network, Inc. University Clinic

2444 E. University Dr., Suite 150

Phoenix Maricopa AZ 85034-6934

(602) 266-8402 [email protected]

1797 not avail 13

Physician, Nurse Practitioner, DO- Physician Osteopath, Behavioral Health Outpatient Clinic,

105354 Bastani Jehangir Southwest Network, Inc. University Clinic

2444 E. University Dr., Suite 150

Phoenix Maricopa AZ 85034-6934

(602) 266-8402 [email protected]

1798 not avail 13

Physician, Nurse Practitioner, DO- Physician Osteopath, Behavioral Health Outpatient Clinic,

400584 Hjalmervik Lynnette Southwest Network, Inc. University Clinic

2444 E. University Dr., Suite 150

Phoenix Maricopa AZ 85034-6934

(602) 266-8402 [email protected]

1799 not avail 13

Physician, Nurse Practitioner, DO- Physician Osteopath, Behavioral Health Outpatient Clinic,

809577 Ashraf Muhammad Southwest Network, Inc. University Clinic

2444 E. University Dr., Suite 150

Phoenix Maricopa AZ 85034-6934

(602) 266-8402 [email protected]

1800 not avail 13

Physician, Nurse Practitioner, DO- Physician Osteopath, Behavioral Health Outpatient Clinic,

879455 McIntyre Leonard Southwest Network, Inc. University Clinic

2444 E. University Dr., Suite 150

Phoenix Maricopa AZ 85034-6934

(602) 266-8402 [email protected]

1801 not avail 13

Physician, Nurse Practitioner, DO- Physician Osteopath, Behavioral Health Outpatient Clinic,

899247Martin-Concepcion

Nancy Southwest Network, Inc. University Clinic

2444 E. University Dr., Suite 150

Phoenix Maricopa AZ 85034-6934

(602) 266-8402 [email protected]

1802 not avail 13

Physician, Nurse Practitioner, DO- Physician Osteopath, Behavioral Health Outpatient Clinic,

502007 Medina Adrian Southwest Network, Inc. University Clinic

2444 E. University Dr., Suite 150

Phoenix Maricopa AZ 85034-6934

(602) 266-8402 [email protected]

1803 not avail 13

Physician, Nurse Practitioner, DO- Physician Osteopath, Behavioral Health Outpatient Clinic,

961129 Ahmad Fayyaz Southwest Network, Inc. University Clinic

2444 E. University Dr., Suite 150

Phoenix Maricopa AZ 85034-6934

(602) 266-8402 [email protected]

1804 not avail 13

Physician, Nurse Practitioner, DO- Physician Osteopath, Behavioral Health Outpatient Clinic,

551300 Raikhelkar

Dheerendranath Southwest Network, Inc. University Clinic

2444 E. University Dr., Suite 150

Phoenix Maricopa AZ 85034-6934

(602) 266-8402 [email protected]

1805 not avail 13

Physician, Nurse Practitioner, DO- Physician Osteopath, Behavioral Health Outpatient Clinic,

969553 Ruddy Iris Southwest Network, Inc. University Clinic

2444 E. University Dr., Suite 150

Phoenix Maricopa AZ 85034-6934

(602) 266-8402 [email protected]

1806 not avail 13

Physician, Nurse Practitioner, DO- Physician Osteopath, Behavioral Health Outpatient Clinic,

430083 Rosette Joyce Southwest Network, Inc. University Clinic

2444 E. University Dr., Suite 150

Phoenix Maricopa AZ 85034-6934

(602) 266-8402 [email protected]

1807 not avail 13

Physician, Nurse Practitioner, DO- Physician Osteopath, Behavioral Health Outpatient Clinic,

875437 Eller Kent Southwest Network, Inc. University Clinic

2444 E. University Dr., Suite 150

Phoenix Maricopa AZ 85034-6934

(602) 266-8402 [email protected]

1808 not avail 13

Physician, Nurse Practitioner, DO- Physician Osteopath, Behavioral Health Outpatient Clinic,

230005 Al Haddad Suhaila Southwest Network, Inc. University Clinic

2444 E. University Dr., Suite 150

Phoenix Maricopa AZ 85034-6934

(602) 266-8402 [email protected]

1809 not avail 13

Physician, Nurse Practitioner, DO- Physician Osteopath, Behavioral Health Outpatient Clinic,

794380 White Patricia Southwest Network, Inc. University Clinic

2444 E. University Dr., Suite 150

Phoenix Maricopa AZ 85034-6934

(602) 266-8402 [email protected]

1810 not avail 13

Physician, Nurse Practitioner, DO- Physician Osteopath, Behavioral Health Outpatient Clinic,

464389 Tharalson Mary Southwest Network, Inc. University Clinic

2444 E. University Dr., Suite 150

Phoenix Maricopa AZ 85034-6934

(602) 266-8402 [email protected]

1811 not avail 13

Physician, Nurse Practitioner, DO- Physician Osteopath, Behavioral Health Outpatient Clinic,

557454 Charles Janicia Southwest Network, Inc. University Clinic

2444 E. University Dr., Suite 150

Phoenix Maricopa AZ 85034-6934

(602) 266-8402 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 42

MAG-353-000042

1812 not avail 13

Physician, Nurse Practitioner, DO- Physician Osteopath, Behavioral Health Outpatient Clinic,

413051 Mebane Andrew Southwest Network, Inc. University Clinic

2444 E. University Dr., Suite 150

Phoenix Maricopa AZ 85034-6934

(602) 266-8402 [email protected]

1813 not avail 13

Physician, Nurse Practitioner, DO- Physician Osteopath, Behavioral Health Outpatient Clinic,

605295 LaHaie Dana-Jean Southwest Network, Inc. University Clinic

2444 E. University Dr., Suite 150

Phoenix Maricopa AZ 85034-6934

(602) 266-8402 [email protected]

1814 not avail 13

Physician, Nurse Practitioner, DO- Physician Osteopath, Behavioral Health Outpatient Clinic,

462028 Ton Kiti Southwest Network, Inc. University Clinic

2444 E. University Dr., Suite 150

Phoenix Maricopa AZ 85034-6934

(602) 266-8402 [email protected]

1816 not avail 13

Physician, Nurse Practitioner, DO- Physician Osteopath, Behavioral Health Outpatient Clinic,

604238 Nayyar Neha Southwest Network, Inc. University Clinic

2444 E. University Dr., Suite 150

Phoenix Maricopa AZ 85034-6934

(602) 266-8402 [email protected]

1817 not avail 13

Physician, Nurse Practitioner, DO- Physician Osteopath, Behavioral Health Outpatient Clinic,

286535 Ekholm Collyer Southwest Network, Inc. University Clinic

2444 E. University Dr., Suite 150

Phoenix Maricopa AZ 85034-6934

(602) 266-8402 [email protected]

1818 not avail 13

Physician, Nurse Practitioner, DO- Physician Osteopath, Behavioral Health Outpatient Clinic,

332275 Wilson Kristen Southwest Network, Inc. University Clinic

2444 E. University Dr., Suite 150

Phoenix Maricopa AZ 85034-6934

(602) 266-8402 [email protected]

1819 not avail 13

Physician, Nurse Practitioner, DO- Physician Osteopath, Behavioral Health Outpatient Clinic,

700500 Green Denise Southwest Network, Inc. University Clinic

2444 E. University Dr., Suite 150

Phoenix Maricopa AZ 85034-6934

(602) 266-8402 [email protected]

1820 not avail 13

Physician, Nurse Practitioner, DO- Physician Osteopath, Behavioral Health Outpatient Clinic,

616771 Harrell Susan Southwest Network, Inc. University Clinic

2444 E. University Dr., Suite 150

Phoenix Maricopa AZ 85034-6934

(602) 266-8402 [email protected]

1821 not avail 13

Physician, Nurse Practitioner, DO- Physician Osteopath, Behavioral Health Outpatient Clinic,

697656 Arce Saba Southwest Network, Inc. University Clinic

2444 E. University Dr., Suite 150

Phoenix Maricopa AZ 85034-6934

(602) 266-8402 [email protected]

1822 not avail 13

Physician, Nurse Practitioner, DO- Physician Osteopath, Behavioral Health Outpatient Clinic,

700468 Benavidez Monica Southwest Network, Inc. University Clinic

2444 E. University Dr., Suite 150

Phoenix Maricopa AZ 85034-6934

(602) 266-8402 [email protected]

1823 not avail 13

Physician, Nurse Practitioner, DO- Physician Osteopath, Behavioral Health Outpatient Clinic,

738049 Jain Shakuntala Southwest Network, Inc. University Clinic

2444 E. University Dr., Suite 150

Phoenix Maricopa AZ 85034-6934

(602) 266-8402 [email protected]

1824 not avail 13

Physician, Nurse Practitioner, DO- Physician Osteopath, Behavioral Health Outpatient Clinic,

666945 Jaffe Stephen Southwest Network, Inc. University Clinic

2444 E. University Dr., Suite 150

Phoenix Maricopa AZ 85034-6934

(602) 266-8402 [email protected]

1825 not avail 13

Physician, Nurse Practitioner, DO- Physician Osteopath, Behavioral Health Outpatient Clinic,

667709 Shambley Quentin Southwest Network, Inc. University Clinic

2444 E. University Dr., Suite 150

Phoenix Maricopa AZ 85034-6934

(602) 266-8402 [email protected]

1830 not avail 13 Level II B/H Residence (non IMD), Inayat Alikhan Better Horizons Behavioral Health LLC 2184 E. Firestone Drive Chandler Maricopa AZ 85249 4806344974 [email protected]

1831 not avail 13 Level II B/H Residence (non IMD), Hubbard David Better Horizons Behavioral Health LLC 2184 E. Firestone Drive Chandler Maricopa AZ 85249 4806344974 [email protected]

1832 not avail 13 Level II B/H Residence (non IMD), 173036 Wieland Larry Better Horizons Behavioral Health LLC 2184 E. Firestone Drive Chandler Maricopa AZ 85249 4806344974 [email protected]

1833 not avail 13 Level II B/H Residence (non IMD),

Kenmogne Kelyne Better Horizons Behavioral Health LLC 2184 E. Firestone Drive Chandler Maricopa AZ 85249 4806344974 [email protected]

1834 not avail 13 Level II B/H Residence (non IMD), Kamgaing Clarisse Better Horizons Behavioral Health LLC 2184 E. Firestone Drive Chandler Maricopa AZ 85249 4806344974 [email protected]

1835 not avail 13 Level II B/H Residence (non IMD), Apraku Diana Better Horizons Behavioral Health LLC 2184 E. Firestone Drive Chandler Maricopa AZ 85249 4806344974 [email protected]

1836 not avail 13 Level II B/H Residence (non IMD), 637630 Better Horizons Behavioral Health 2184 E. Firestone Drive Chandler Maricopa AZ 85249 4806344974 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 43

MAG-353-000043

1837 not avail 13 Psychologist, 404615 Arizona Behavioral Health Specialists STE C 202 10000 N 31ST AVE PHOENIX Maricopa AZ 85051

1838 not avail 13 Psychologist, 701815 LEWIS DEBORAH Arizona Behavioral Health Specialists 10000 N 31st Ave Ste C202 Phoenix Maricopa AZ 85051 [email protected]

1839 not avail 13

Behavioral Health Outpatient Clinic, Licensed Professional Counselor,

N/A Ludwig Rosemarie LUDWIG, ROSEMARIE Po Box 83474 Phoenix Maricopa AZ 85071 [email protected]

1840 9850163 13

Psychologist, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Professional Counselor,

172613 Geraghty Laura HEALTHY FUTURES 9449 N 90TH ST #210 SCOTTSDALE Maricopa AZ 85258 4804518500 [email protected]

1842 not avail 13

Behavioral Health Outpatient Clinic, Level I Residential treatment Center Non Secure (IMD),

536755 THE NEW FOUNDATION 1200 N 77TH ST SCOTTSDALE Maricopa AZ 85257 4809453302 [email protected]

1843 not avail 13 Behavioral Health Outpatient Clinic, 93422 Morrone-

Strupinsky Jeannine ARIZONA NEUROPSYCHOLOGICAL SERVICES 3115 S PRICE RD CHANDL

ER Maricopa AZ 85248 [email protected]

1844 not avail 13Nurse Practitioner, Behavioral Health Outpatient Clinic,

654982 Foci Emina FOCI, EMINA 8160 E Butherus Ste 7 Scottsdale Maricopa AZ 85260 [email protected]

1845 not avail 13

Level II B/H Residence (non IMD), Behavioral Health Therapeutic Home,

701954 Destiny Behavioral Health Residential Care, LLC 2911 S 87 Drive Tolleson Maricopa AZ 85353 623-435-

6566 [email protected]

1846 not avail 13

Laboratory, Physician, Nurse Practitioner, Non-Emergency Transportation, DO- Physician Osteopath, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Level III B/H Residential (non IMD), Level I Subacute Facility (non-IMD), Crisis Servi

386442 COMMUNITY BRIDGES, INC East Valley Addiction Recovery Center 560 S. Bellview Mesa Maricopa AZ 85204

1872 9534621 13 Behavioral Health Outpatient Clinic, 942476 Arizona Youth and Family Srvs 55 East Thomas Road, Suite 200 Phoenix Maricopa AZ 85012 602-277-

4833 [email protected]

1880 not avail 13Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic,

911695 Grace of Serenity Living 2720 E. Thomas Street, Bldg. B, Suite 200 PHOENIX Maricopa AZ 85016 602.441.469

0 [email protected]

1901 not avail 13

Psychologist, Physician Assistant, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency, Licen

695106 Baker Ashonda MOUNTAIN HEALTH & WELLNESS 625 N PLAZA DRIVEAPACHE JUNCTION

Pinal AZ 85120 4809830065 [email protected]

1902 9692875 13

Psychologist, Physician Assistant, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency, Licen

709287 Bessire Alethea MOUNTAIN HEALTH & WELLNESS 625 N PLAZA DRIVEAPACHE JUNCTION

Pinal AZ 85120 4809830065 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 44

MAG-353-000044

1903 not avail 13

Psychologist, Physician Assistant, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency, Licen

651688 Denton Sharla MOUNTAIN HEALTH & WELLNESS 625 N PLAZA DRIVEAPACHE JUNCTION

Pinal AZ 85120 4809830065 [email protected]

1904 5367690 13

Psychologist, Physician Assistant, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency, Licen

432667 Dhanjal-Reddy Amrita MOUNTAIN HEALTH & WELLNESS 625 N PLAZA DRIVE

APACHE JUNCTION

Pinal AZ 85120 4809830065 [email protected]

1905 9720295 13

Psychologist, Physician Assistant, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency, Licen

141626 Duncan Cathy MOUNTAIN HEALTH & WELLNESS 625 N PLAZA DRIVEAPACHE JUNCTION

Pinal AZ 85120 4809830065 [email protected]

1906 9142871 13

Psychologist, Physician Assistant, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency, Licen

709394 Greer Megan MOUNTAIN HEALTH & WELLNESS 625 N PLAZA DRIVEAPACHE JUNCTION

Pinal AZ 85120 4809830065 [email protected]

1907 9559697 13

Psychologist, Physician Assistant, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency, Licen

697980 Kennedy Michael MOUNTAIN HEALTH & WELLNESS 625 N PLAZA DRIVEAPACHE JUNCTION

Pinal AZ 85120 4809830065 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 45

MAG-353-000045

1908 9816760 13

Psychologist, Physician Assistant, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency, Licen

Not Provided Lee Sean MOUNTAIN HEALTH & WELLNESS 625 N PLAZA DRIVEAPACHE JUNCTION

Pinal AZ 85120 4809830065 [email protected]

1909 9185827 13

Psychologist, Physician Assistant, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency, Licen

641714 Malachowski Carrie MOUNTAIN HEALTH & WELLNESS 625 N PLAZA DRIVE

APACHE JUNCTION

Pinal AZ 85120 4809830065 [email protected]

1910 9608426 13

Psychologist, Physician Assistant, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency, Licen

485539 Martin Cindy MOUNTAIN HEALTH & WELLNESS 625 N PLAZA DRIVEAPACHE JUNCTION

Pinal AZ 85120 4809830065 [email protected]

1911 9610596 13

Psychologist, Physician Assistant, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency, Licen

928319 McCray Kenya MOUNTAIN HEALTH & WELLNESS 625 N PLAZA DRIVEAPACHE JUNCTION

Pinal AZ 85120 4809830065 [email protected]

1912 9164501 13

Psychologist, Physician Assistant, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency, Licen

Not Provided McKivergan Maria MOUNTAIN HEALTH & WELLNESS 625 N PLAZA DRIVE

APACHE JUNCTION

Pinal AZ 85120 4809830065 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 46

MAG-353-000046

1913 9625610 13

Psychologist, Physician Assistant, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency, Licen

533565 Muzzin Jocelyn MOUNTAIN HEALTH & WELLNESS 625 N PLAZA DRIVEAPACHE JUNCTION

Pinal AZ 85120 4809830065 [email protected]

1914 9293835 13

Psychologist, Physician Assistant, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency, Licen

494102 Nguyen Le Chi MOUNTAIN HEALTH & WELLNESS 625 N PLAZA DRIVEAPACHE JUNCTION

Pinal AZ 85120 4809830065 [email protected]

1915 7740422 13

Psychologist, Physician Assistant, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency, Licen

752528 Nice Philip MOUNTAIN HEALTH & WELLNESS 625 N PLAZA DRIVEAPACHE JUNCTION

Pinal AZ 85120 4809830065 [email protected]

1916 9983364 13

Psychologist, Physician Assistant, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency, Licen

982604 Osgood Margaret MOUNTAIN HEALTH & WELLNESS 625 N PLAZA DRIVEAPACHE JUNCTION

Pinal AZ 85120 4809830065 [email protected]

1917 not avail 13

Psychologist, Physician Assistant, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency, Licen

485254 Schwimmer Lisa MOUNTAIN HEALTH & WELLNESS 625 N PLAZA DRIVE

APACHE JUNCTION

Pinal AZ 85120 4809830065 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 47

MAG-353-000047

1918 9047249 13

Psychologist, Physician Assistant, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency, Licen

559898 Serra Stephanie MOUNTAIN HEALTH & WELLNESS 625 N PLAZA DRIVEAPACHE JUNCTION

Pinal AZ 85120 4809830065 [email protected]

1919 not avail 13

Psychologist, Physician Assistant, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency, Licen

731085 Seward Kay MOUNTAIN HEALTH & WELLNESS 625 N PLAZA DRIVEAPACHE JUNCTION

Pinal AZ 85120 4809830065 [email protected]

1920 not avail 13

Psychologist, Physician Assistant, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency, Licen

711049 Slackta Christina MOUNTAIN HEALTH & WELLNESS 625 N PLAZA DRIVEAPACHE JUNCTION

Pinal AZ 85120 4809830065 [email protected]

1921 not avail 13

Psychologist, Physician Assistant, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency, Licen

596917 Stevens Keira MOUNTAIN HEALTH & WELLNESS 625 N PLAZA DRIVEAPACHE JUNCTION

Pinal AZ 85120 4809830065 [email protected]

1922 9730354 13

Psychologist, Physician Assistant, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency, Licen

3749 Stumpf Michael MOUNTAIN HEALTH & WELLNESS 625 N PLAZA DRIVEAPACHE JUNCTION

Pinal AZ 85120 4809830065 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 48

MAG-353-000048

1923 9460270 13

Psychologist, Physician Assistant, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency, Licen

164355 Tinger Nancy MOUNTAIN HEALTH & WELLNESS 625 N PLAZA DRIVEAPACHE JUNCTION

Pinal AZ 85120 4809830065 [email protected]

1924 not avail 13

Psychologist, Physician Assistant, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency, Licen

Not Provided Tuffly Creche MOUNTAIN HEALTH & WELLNESS 625 N PLAZA DRIVEAPACHE JUNCTION

Pinal AZ 85120 4809830065 [email protected]

1925 7586585 13

Psychologist, Physician Assistant, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency, Licen

431974 Vines Michael MOUNTAIN HEALTH & WELLNESS 625 N PLAZA DRIVEAPACHE JUNCTION

Pinal AZ 85120 4809830065 [email protected]

1926 9934462 13

Psychologist, Physician Assistant, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency, Licen

498752 Warne-Murphy Brittainy MOUNTAIN HEALTH & WELLNESS 625 N PLAZA DRIVE

APACHE JUNCTION

Pinal AZ 85120 4809830065 [email protected]

1927 9977846 13

Psychologist, Physician Assistant, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency, Licen

668301 Wilson Robert MOUNTAIN HEALTH & WELLNESS 625 N PLAZA DRIVEAPACHE JUNCTION

Pinal AZ 85120 4809830065 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 49

MAG-353-000049

1928 9577126 13

Psychologist, Physician Assistant, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency, Licen

610352 Wolfe Tarry MOUNTAIN HEALTH & WELLNESS 625 N PLAZA DRIVEAPACHE JUNCTION

Pinal AZ 85120 4809830065 [email protected]

1929 not avail 13 Behavioral Health Outpatient Clinic, 660047 Zion Compassion Care, LLC 3560 W. Mesquite Ave Queen

Creek Maricopa AZ 85142 480-233-2099

1937 7798724 13 Psychologist, Habilitation Provider, 825557 SOUTHWEST AUTISM RESEARCH 2225 North 16th Street PHOENIX Maricopa AZ 85006 602-340-

8717 [email protected]

1942 not avail 13 Behavioral Health Outpatient Clinic, 151672 NEGRI ANN M CHOICES Network - Central 3003 N Central Ave, #305 Phoenix Maricopa AZ 85012-

2904602/952-3400

1943 not avail 13 Behavioral Health Outpatient Clinic, 751356 FANGOH

R PATRICIA FANGOHR, PATRICIA 3311 N 44TH ST STE 100 PHOENIX Maricopa AZ 85018 (602) 957-2220

1955 4119254 13

Physician, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker,

276114 BENJAMIN ERIC Valle Del Sol 3807 N 7TH ST PHOENIX Maricopa AZ 85014 (602) 258-

6797 [email protected]

1956 4326810 13 Nurse Practitioner, 425240 SMERKO KATHLEEN A SMERKO, KATHLEEN A 1121 E MISSOURI AVE STE 104 PHOENIX Maricopa AZ 85014 (602) 235-

9505 [email protected]

1960 7265221 13 Behavioral Health Outpatient Clinic, 548464 ZWIER KENNET

H J ZWIER, KENNETH J 7510 East 1st Street SCOTTSDALE Maricopa AZ 85251 480) 941-

3832 [email protected]

1962 9237666 13 Behavioral Health Outpatient Clinic, 450073 ALLEN CHARLIS

A F CHOICES Network - Arcadia 3311 N. 44th Street Suite 100 PHOENIX Maricopa AZ 85018 602-957-2220

1964 5322481 13

Laboratory, Physician, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

262882 GERUNDO HERMES GERUNDO, HERMES 1300 N CENTRAL AVE PHOENIX Maricopa AZ 85004 (602) 251-

0650

1972 9311077 13

Physician, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor

761313 HYMAN TERRIE C Jewish Family & Child Services of AZ 5701 W TALAVI BLVD STE 180 GLENDALE Maricopa AZ 85306 (623) 486-

8202 [email protected]

1973 4408692 13 Behavioral Health Outpatient Clinic, 747181 TRAN MI LE TRAN, MI LE 3311 N 44TH ST STE 100 PHOENIX Maricopa AZ 85018 (602) 957-

2220 [email protected]

1976 not avail 13

Laboratory, Physician, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

958176 COCHRAN JANICE L COCHRAN, JANICE L 310 S EXTENSION RD MESA Maricopa AZ 85210 (480) 615-

3800

1979 not avail 13 Behavioral Health Outpatient Clinic, 790453 ROBLES MARLEN

E I CHOICES Network - Townley 8836 N. 23rd Avenue Suite B-1 Phoenix Maricopa AZ 85021 480/929-5100

1985 not avail 13 Behavioral Health Outpatient Clinic, 461369 HARMST

ON CHARLES CHOICES Network - Enclave 1642 S Priest Dr. Bldg. 6, Suite 101 PHOENIX Maricopa AZ 85281 602/278-

1414

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 50

MAG-353-000050

1990 not avail 13

Laboratory, Physician, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

976954 BELMONTE

WINONA Z T BELMONTE, WINONA 1300 N CENTRAL AVE PHOENIX Maricopa AZ 85004 (602) 251-

0650

1995 not avail 13 Behavioral Health Outpatient Clinic, 002733 FIGUERO

A SANDRA CHOICES Network - Arcadia 3311 N. 44th Street Suite 100 Phoenix Maricopa AZ 85018 602-957-2220

2000 not avail 13 Behavioral Health Outpatient Clinic, 489709 SENSKA MARGAR

ET CHOICES Network - Townley 8836 N 23RD AVE STE B1 PHOENIX Maricopa AZ 85021 480/929-5100

2003 7812623 13 Behavioral Health Outpatient Clinic, 721341 FRAZIER AMY J FRAZIER, AMY J 3311 N 44TH ST STE 100 PHOENIX Maricopa AZ 85018 (602) 957-

2220

2016 4527811 13

Physician Assistant, Behavioral Health Outpatient Clinic, Licensed Independent Substance Abuse Counselor,

119637 BAINS JERRY Community Medical Service 3825 N 24TH ST PHOENIX Maricopa AZ 85016 (602) 955-7997 [email protected]

2017 not avail 13

Physician Assistant, Behavioral Health Outpatient Clinic, Licensed Independent Substance Abuse Counselor,

497504 CHRISTENSEN RICHARD Community Medical Service 3825 N 24TH ST PHOENIX Maricopa AZ 85016 (602) 955-

7997 [email protected]

2019 not avail 13

Physician, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor

609693SNEPSON BARNETT

SHELLY VAN Jewish Family and Children's Services 1255 W BASELINE RD STE 138 MESA Maricopa AZ 85202 (480) 820-

5422 [email protected]

2022 9332073 13 Behavioral Health Outpatient Clinic, 595770 CAMPBE

LL GAYLE CAMPBELL, GAYLE 4425 W OLIVE AVE STE 194 GLENDALE Maricopa AZ 85302 (480) 784-

1514 [email protected]

2025 not avail 13 Behavioral Health Outpatient Clinic, 102684 TRIGHATI

AANUPAMA TRIGHATIA, ANUPAMA 3864 N 27TH AVE PHOENIX Maricopa AZ 85017 (602) 685-

6000

2039 not avail 13 Behavioral Health Outpatient Clinic, 954637 PAPKE DIANE T CHOICES Network - Arcadia 3311 N 44TH ST STE 100 PHOENIX Maricopa AZ 85018 (602) 957-

2220

2040 not avail 13 Behavioral Health Outpatient Clinic, 947898 DE LOS

SANTOS EDDY U DE LOS SANTOS EDDY U 310 S EXTENSION RD MESA Maricopa AZ 85210 (480) 615-3800

2042 not avail 13 Behavioral Health Outpatient Clinic, 963472 MATEUS BEATRIZ

A CHOICES Network - Midtown 3333 N 7th Ave Phoenix Maricopa AZ 85013-4108

602/264-4331

2043 not avail 13 Behavioral Health Outpatient Clinic, 894247 VILLALO

BOS LILLIAM CHOICES Network - W McDowell 5030 W McDowell Rd. #16 PHOENIX Maricopa AZ 85035 602/944-9810

2049 not avail 13 Behavioral Health Outpatient Clinic, 881674 AGOSTO JOSE A CHOICES Network - So Central 1616 E ROESER RD PHOENIX Maricopa AZ 85040 (602) 323-

3000

2050 not avail 13 Behavioral Health Outpatient Clinic, 795586 VILLARR

EAL CESAR CHOICES Network - W McDowell 5030 W McDowell Rd. #16 PHOENIX Maricopa AZ 85035 602/944-9810

2052 9892461 13 Behavioral Health Outpatient Clinic, 436833 ESTEVES JOAO L ESTEVES, JOAO L 1300 N CENTRAL AVE PHOENIX Maricopa AZ 85004 (602) 251-

0650

2053 not avail 13 Behavioral Health Outpatient Clinic, 462036 NEUFELD FRANCIS

CO A NEUFELD, FRANCISCO A 310 S EXTENSION RD MESA Maricopa AZ 85210 (480) 615-3800

2063 not avail 13 Behavioral Health Outpatient Clinic, 775645 LEE JOSEPH

HENRY Choices Network of Arizona 8836 N 23RD AVE STE B1 PHOENIX Maricopa AZ 85021 (602) 944-9810

2065 not avail 13 Behavioral Health Outpatient Clinic, 775744 QUESEA ERNEST

O QUESEA, ERNESTO 3311 N 44TH ST STE 100 PHOENIX Maricopa AZ 85018 (602) 957-2220

2066 not avail 13 Behavioral Health Outpatient Clinic, 462010 SARMIEN

TOCRESENCIO SARMIENTO, CRESENCIO 3311 N 44TH ST STE 100 PHOENIX Maricopa AZ 85018 (602) 957-

2220

2067 9920842 13 Behavioral Health Outpatient Clinic, 775843 STA

ROMANAJOSEFINA M STA ROMANA, JOSEFINA M 3311 N 44TH ST STE 100 PHOENIX Maricopa AZ 85018 (602) 957-

2220

2068 not avail 13 Behavioral Health Outpatient Clinic, 779465 ZIMMER

MAN EVA L Choices Townley 8836 N 23RD AVE STE B1 PHOENIX Maricopa AZ 85021 (602) 944-9810

2070 not avail 13 Behavioral Health Outpatient Clinic, 489460 HANSON PRISCILL

A M CHOICES Network - Midtown 3333 North 7th Ave Phoenix Maricopa AZ 85013 602-264-4331

2071 not avail 13 Behavioral Health Outpatient Clinic, 919491 MACLAU

GHLINBRANDY L CHOICES Network - So Central 1616 E ROESER RD PHOENIX Maricopa AZ 85040 (602) 323-

3000

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 51

MAG-353-000051

2072 not avail 13 Behavioral Health Outpatient Clinic, 464446 PFLUGFE

LDER JANICE CHOICES Network - Arcadia 3311 N 44TH ST STE 100 PHOENIX Maricopa AZ 85018 (602) 957-2220

2076 9802082 13

Physician, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor

514473 TAN FERMO LETTY Jewish Family & Child Services of AZ 5701 W TALAVI BLVD STE 180 GLENDA

LE Maricopa AZ 85306 (623) 486-8202 [email protected]

2078 9850116 13

Physician, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor

721565 MCELFRESH

WILLIAM DAVID Jewish Family and Children's Services 1255 W BASELINE RD STE

B258 MESA Maricopa AZ 85202 4805282811 [email protected]

2079 7564846 13

Physician, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor

962094 GREEN REBECCA Jewish Family & Child Services of AZ 5701 W TALAVI BLVD STE 180 GLENDA

LE Maricopa AZ 85306 (602) 279-7655 [email protected]

2082 not avail 13 Behavioral Health Outpatient Clinic, 185968 PYEVICH DANIELL

E M CHOICES Network - Enclave 1642 S Priest Dr. Bldg. 6, Suite 101 Tempe, Maricopa AZ 85281-

6204602/278-1414

2084 9211639 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

836976 MULLINS NANCY B Lifewell Behavioral Wellness 2720 E THOMAS RD STE 250 BLDG C PHOENIX Maricopa AZ 85016 (602) 553-

7300

2087 not avail 13 Behavioral Health Outpatient Clinic, 243344 SCHWAR

TZ AIMEE CHOICES Network - Townley 8836 N 23RD AVE STE B1 PHOENIX Maricopa AZ 85021 480/929-5100

2089 9287696 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

269427 MAYORGA ROGER Lifewell Behavioral Wellness 2720 E THOMAS RD STE 250

BLDG C PHOENIX Maricopa AZ 85016 (602) 553-7300

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 52

MAG-353-000052

2099 not avail 13

Physician, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor

984733 LOCH SHERRY L Jewish Family & Child Services of AZ 5701 W TALAVI BLVD STE 180 GLENDA

LE Maricopa AZ 85306 (602) 279-7655 [email protected]

2100 not avail 13

Physician, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor

197229 BARON JOANNE Jewish Family & Child Services of AZ 5701 W TALAVI BLVD STE 180 GLENDALE Maricopa AZ 85306 (602) 279-

7655 [email protected]

2106 not avail 13 Physician 577108 STUART JR

VINCENT C Sahara Behavioral Health 6677 W THUNDERBIRD RD STE

I 164GLENDALE Maricopa AZ 85306 (623) 878-

2100 [email protected]

2112 9437353 13

Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

732025 BAYLESS MICHAEL B Bayless Behavioral Health Solutions 3620 N 3RD ST PHOENIX Maricopa AZ 85012 6022307373 [email protected]

2116 not avail 13 Behavioral Health Outpatient Clinic, 894916 Jordan Michael CHOICES Network - Arcadia 3311 N. 44th Street Phoenix Maricopa AZ 85018 602-957-

2220

2119 9998187 13

Physician, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor

793332 COOPER JANET Jewish Family and Children's Services 1255 W BASELINE RD STE B258 MESA Maricopa AZ 85202 (480) 820-

0825 [email protected]

2125 4135716 13 Behavioral Health Outpatient Clinic, 953142 ELLIS ELAINE ELLIS, ELAINE 2850 N 24TH ST PHOENIX Maricopa AZ 85008 (602) 266-

5976

2136 not avail 13 Behavioral Health Outpatient Clinic, 613445 ERB SUSAN

ELAINE CHOICES Network - Midtown 3333 N 7TH AVE PHOENIX Maricopa AZ 85013 602/264-4331

2139 not avail 13

Physician, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor

952540 KANDEL JOAN ELLEN Jewish Family and Children's Services 1255 W BASELINE RD STE 138 MESA Maricopa AZ 85202 (480) 820-

5422 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 53

MAG-353-000053

2142 not avail 13

Physician, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor

625855 HIGGINS CARISSA JO Jewish Family & Child Services of AZ 5701 W TALAVI BLVD STE 180 GLENDA

LE Maricopa AZ 85306 (602) 279-7655 [email protected]

2143 9057653 13

Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

599218 LESSELYONG JULIA Bayless Behavioral Health Solutions 3620 N 3RD ST PHOENIX Maricopa AZ 85012 (602) 230-

7373 [email protected]

2148 not avail 13

Physician, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor

640864 GERACE SUSAN Jewish Family and Children's Services 1255 W BASELINE RD STE B258 MESA Maricopa AZ 85202 (480) 820-

0825 [email protected]

2150 not avail 13 Behavioral Health Outpatient Clinic, 076655 GABUYA PERLA GABUYA, PERLA 3311 N 44TH ST STE 100 PHOENIX Maricopa AZ 85018 (602) 957-

2220

2152 9161082 13

Physician, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor

266135 CHOWDHURY

SANGHAMITRA Jewish Family & Child Services of AZ 5701 W TALAVI BLVD STE 180 GLENDA

LE Maricopa AZ 85306 (602) 279-7655 [email protected]

2153 not avail 13

Physician, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor

721549 KINDER PAMELA Jewish Family and Children's Services 1255 W BASELINE RD STE B258 MESA Maricopa AZ 85202 (480) 820-

0825 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 54

MAG-353-000054

2156 9056105 13

Physician, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor

721705 WORLE ELLEN Jewish Family and Children's Services 1255 W BASELINE RD STE B258 MESA Maricopa AZ 85202 (480) 820-

0825 [email protected]

2157 4139812 13 Nurse Practitioner, 183517 LEVIN JUDITH A LEVIN, JUDITH A 3864 N 27TH AVE PHOENIX Maricopa AZ 85017 (602) 685-6000 [email protected]

2163 7779715 13

Physician, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker,

873514 MUSE FRANTZ Valle Del Sol 509 S ROCKFORD DR TEMPE Maricopa AZ 85281 (602) 258-6797 [email protected]

2168 not avail 13

Physician, Nurse Practitioner, Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor

958572 FRANCO JULIAN AIDA Jewish Family and Children's Services 1255 W BASELINE RD STE 138 MESA Maricopa AZ 85202 (480) 820-

5422 [email protected]

2169 7572183 13

Physician, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker,

815417 HERRERA GORKY Valle Del Sol 10320 W McDowell Rd G7024 Avondale Maricopa AZ 85392 6022586797 [email protected]

2171 not avail 13 Behavioral Health Outpatient Clinic, not provided Rowley Mandee PHOENIX SHANTI GROUP INC 2345 W GLENDALE AVE PHOENIX Maricopa AZ 85021 602.279.000

8 [email protected]

2172 not avail 13 Behavioral Health Outpatient Clinic, not provided Corbett Lisa PHOENIX SHANTI GROUP INC 2345 W GLENDALE AVE PHOENIX Maricopa AZ 85021 602.279.000

8 [email protected]

2173 not avail 13 Behavioral Health Outpatient Clinic, not provided Bahadar Rachel PHOENIX SHANTI GROUP INC 2345 W GLENDALE AVE PHOENIX Maricopa AZ 85021 602.279.000

8 [email protected]

2174 not avail 13 Behavioral Health Outpatient Clinic, not provided Thompson Keith PHOENIX SHANTI GROUP INC 2345 W GLENDALE AVE PHOENIX Maricopa AZ 85021 602.279.000

8 [email protected]

2175 not avail 13 Behavioral Health Outpatient Clinic, not provided Smerko Kathleen PHOENIX SHANTI GROUP INC 2345 W GLENDALE AVE PHOENIX Maricopa AZ 85021 602.279.000

8

2176 not avail 13 Behavioral Health Outpatient Clinic, not provided Stantz Michael PHOENIX SHANTI GROUP INC 2345 W GLENDALE AVE PHOENIX Maricopa AZ 85021 602.279.000

8 [email protected]

2177 not avail 13 Behavioral Health Outpatient Clinic, not provided Lopez Matthew PHOENIX SHANTI GROUP INC 2345 W GLENDALE AVE PHOENIX Maricopa AZ 85021 602.279.000

8 [email protected]

2178 not avail 13 Behavioral Health Outpatient Clinic, not provided McPherso

n James PHOENIX SHANTI GROUP INC 2345 W GLENDALE AVE PHOENIX Maricopa AZ 85021 602.279.0008 [email protected]

2182 not avail 13

Licensed Marriage/Family Therapist, Licensed Professional Counselor,

Not Provided Fishburn Jill CHRISTIAN FAMILY CARE AGENCY INC 3603 N 7TH AVE PHOENIX Maricopa AZ 85013 602 234-1935 [email protected]

2183 not avail 13

Licensed Marriage/Family Therapist, Licensed Professional Counselor,

Not Provided DeYoung Deborah CHRISTIAN FAMILY CARE AGENCY INC 3603 N 7TH AVE PHOENIX Maricopa AZ 85013 602 234-1935 [email protected]

2184 not avail 13

Licensed Marriage/Family Therapist, Licensed Professional Counselor,

Not Provided Adame Misty CHRISTIAN FAMILY CARE AGENCY INC 3603 N 7TH AVE PHOENIX Maricopa AZ 85013 602 234-1935 [email protected]

2185 7318565 13

Licensed Marriage/Family Therapist, Licensed Professional Counselor,

Not Provided Carlson Kelly CHRISTIAN FAMILY CARE AGENCY INC 3603 N 7TH AVE PHOENIX Maricopa AZ 85013 602 234-1935 [email protected]

2186 not avail 13

Level II B/H Residence (non IMD), Level I Residential Treatment Center-Secure (IMD),

548464 Zwier Kenneth YOUTH DEVELOPMENT INST 1830 E. Roosevelt Street Phoenix Maricopa AZ 85006 602-256-5300 [email protected]

2187 not avail 13

Level II B/H Residence (non IMD), Level I Residential Treatment Center-Secure (IMD),

750663 Anderson Lorre YOUTH DEVELOPMENT INST 1830 E. Roosevelt Street Phoenix Maricopa AZ 85006 602-256-5300 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 55

MAG-353-000055

2188 not avail 13

Level II B/H Residence (non IMD), Level I Residential Treatment Center-Secure (IMD),

850447 Smith Maria YOUTH DEVELOPMENT INST 1830 E. Roosevelt Street Phoenix Maricopa AZ 85006 602-256-5300 [email protected]

2189 not avail 13

Level II B/H Residence (non IMD), Level I Residential Treatment Center-Secure (IMD),

498338 Rothfeder Joan YOUTH DEVELOPMENT INST 1830 E. Roosevelt Street Phoenix Maricopa AZ 85006 602-256-5300 [email protected]

2190 not avail 13 Behavioral Health Outpatient Clinic Not Provided Amiel Allison CHILD & FAMILY SUPPORT SERVICES 10439 South 51st Street SUITE

100 Phoenix Maricopa AZ 85044 4806359944 [email protected]

2191 not avail 13 Behavioral Health Outpatient Clinic Not Provided Carter Joy CHILD & FAMILY SUPPORT SERVICES 10439 South 51st Street SUITE

100 Phoenix Maricopa AZ 85044 4806359944 [email protected]

2192 not avail 13 Behavioral Health Outpatient Clinic Not Provided Diquattro Carli CHILD & FAMILY SUPPORT SERVICES 10439 South 51st Street SUITE

100 Phoenix Maricopa AZ 85044 4806359944 [email protected]

2193 not avail 13 Behavioral Health Outpatient Clinic Not Provided Gibb Kara CHILD & FAMILY SUPPORT SERVICES 10439 South 51st Street SUITE

100 Phoenix Maricopa AZ 85044 4806359944 [email protected]

2194 not avail 13 Behavioral Health Outpatient Clinic Not Provided Kisicki Erin CHILD & FAMILY SUPPORT SERVICES 10439 South 51st Street SUITE

100 Phoenix Maricopa AZ 85044 4806359944 [email protected]

2195 not avail 13 Behavioral Health Outpatient Clinic Not Provided Luechtefel

d Emily CHILD & FAMILY SUPPORT SERVICES 10439 South 51st Street SUITE 100 Phoenix Maricopa AZ 85044 4806359944 [email protected]

2196 not avail 13 Behavioral Health Outpatient Clinic Not Provided Penrod Timothy CHILD & FAMILY SUPPORT SERVICES 10439 South 51st Street SUITE

100 Phoenix Maricopa AZ 85044 4806359944 [email protected]

2197 not avail 13 Behavioral Health Therapeutic Home, 751405 Anderson Wendy PROVIDENCE OF ARIZONA 2602 W. Thomas Rd. Suite 10 PHOENIX Maricopa AZ 85019 602-455-

4626 [email protected]

2198 not avail 13 Behavioral Health Therapeutic Home, 908882 Archie Virginia PROVIDENCE OF ARIZONA 2602 W. Thomas Rd. Suite 10 PHOENIX Maricopa AZ 85019 602-455-

4626 virginaArchie@yahoo,cin

2199 not avail 13 Behavioral Health Therapeutic Home, 174503 Arnett Mildred PROVIDENCE OF ARIZONA 2602 W. Thomas Rd. Suite 10 PHOENIX Maricopa AZ 85019 602-455-

4626 none

2200 not avail 13 Behavioral Health Therapeutic Home, 128653 Banks Natalie PROVIDENCE OF ARIZONA 2602 W. Thomas Rd. Suite 10 PHOENIX Maricopa AZ 85019 602-455-

4626 [email protected]

2201 not avail 13 Behavioral Health Therapeutic Home, 380720 Bellamy Lonnie PROVIDENCE OF ARIZONA 2602 W. Thomas Rd. Suite 10 PHOENIX Maricopa AZ 85019 602-455-

4626 [email protected]

2202 not avail 13 Behavioral Health Therapeutic Home, 609242 Ford Missouri PROVIDENCE OF ARIZONA 2602 W. Thomas Rd. Suite 10 PHOENIX Maricopa AZ 85019 602-455-

4626 none

2203 not avail 13 Behavioral Health Therapeutic Home, 622111 Griffin Joseph PROVIDENCE OF ARIZONA 2602 W. Thomas Rd. Suite 10 PHOENIX Maricopa AZ 85019 602-455-

4626 [email protected]

2204 not avail 13 Behavioral Health Therapeutic Home, 841024 Hamilton Jeff PROVIDENCE OF ARIZONA 2602 W. Thomas Rd. Suite 10 PHOENIX Maricopa AZ 85019 602-455-

4626 [email protected]

2205 not avail 13 Behavioral Health Therapeutic Home, 384278 Keil Michelle PROVIDENCE OF ARIZONA 2602 W. Thomas Rd. Suite 10 PHOENIX Maricopa AZ 85019 602-455-

4626 [email protected]

2206 not avail 13 Behavioral Health Therapeutic Home, 089680 Kolibas Launa PROVIDENCE OF ARIZONA 2602 W. Thomas Rd. Suite 10 PHOENIX Maricopa AZ 85019 602-455-

4626 [email protected]

2207 not avail 13 Behavioral Health Therapeutic Home, 312095 Lawrence Tanisha PROVIDENCE OF ARIZONA 2602 W. Thomas Rd. Suite 10 PHOENIX Maricopa AZ 85019 602-455-

4626 [email protected]

2208 not avail 13 Behavioral Health Therapeutic Home, 972465 Lewis Ann PROVIDENCE OF ARIZONA 2602 W. Thomas Rd. Suite 10 PHOENIX Maricopa AZ 85019 602-455-

4626 [email protected]

2209 not avail 13 Behavioral Health Therapeutic Home, 974833 Lizarraga Francisca PROVIDENCE OF ARIZONA 2602 W. Thomas Rd. Suite 10 PHOENIX Maricopa AZ 85019 602-455-

4626 none

2210 not avail 13 Behavioral Health Therapeutic Home, 380126 Martinez Aurora PROVIDENCE OF ARIZONA 2602 W. Thomas Rd. Suite 10 PHOENIX Maricopa AZ 85019 602-455-

4626 [email protected]

2211 not avail 13 Behavioral Health Therapeutic Home, 964462 Miles Brigitt PROVIDENCE OF ARIZONA 2602 W. Thomas Rd. Suite 10 PHOENIX Maricopa AZ 85019 602-455-

4626 [email protected]

2212 not avail 13 Behavioral Health Therapeutic Home, 827743 Olson Barbara PROVIDENCE OF ARIZONA 2602 W. Thomas Rd. Suite 10 PHOENIX Maricopa AZ 85019 602-455-

4626 [email protected]

2213 not avail 13 Behavioral Health Therapeutic Home, 936932 Porter Suzan PROVIDENCE OF ARIZONA 2602 W. Thomas Rd. Suite 10 PHOENIX Maricopa AZ 85019 602-455-

4626 [email protected]

2214 not avail 13 Behavioral Health Therapeutic Home, 072688 Reynolds Debra PROVIDENCE OF ARIZONA 2602 W. Thomas Rd. Suite 10 PHOENIX Maricopa AZ 85019 602-455-

4626 [email protected]

2215 not avail 13 Behavioral Health Therapeutic Home, 094379 Tipton Debra PROVIDENCE OF ARIZONA 2602 W. Thomas Rd. Suite 10 PHOENIX Maricopa AZ 85019 602-455-

4626 [email protected]

2216 not avail 13 Behavioral Health Therapeutic Home, 482154 Tsagaris Laura PROVIDENCE OF ARIZONA 2602 W. Thomas Rd. Suite 10 PHOENIX Maricopa AZ 85019 602-455-

4626 none

2217 not avail 13 Behavioral Health Therapeutic Home, 971839 Valenzuel

a Sandra PROVIDENCE OF ARIZONA 2602 W. Thomas Rd. Suite 10 PHOENIX Maricopa AZ 85019 602-455-4626 none

2218 not avail 13 Behavioral Health Therapeutic Home, 433968 VanDyke Noel PROVIDENCE OF ARIZONA 2602 W. Thomas Rd. Suite 10 PHOENIX Maricopa AZ 85019 602-455-

4626 [email protected]

2219 not avail 13 Behavioral Health Therapeutic Home, 439475 Wilson Donna PROVIDENCE OF ARIZONA 2602 W. Thomas Rd. Suite 10 PHOENIX Maricopa AZ 85019 602-455-

4626 [email protected]

2220 not avail 13 Behavioral Health Therapeutic Home, 849341 Belcher Susie PROVIDENCE OF ARIZONA 2602 W. Thomas Rd. Suite 10 PHOENIX Maricopa AZ 85019 602-455-

4626 [email protected]

2221 not avail 13 Behavioral Health Therapeutic Home, 438485 Bumgarne

r Wendy PROVIDENCE OF ARIZONA 2602 W. Thomas Rd. Suite 10 PHOENIX Maricopa AZ 85019 602-455-4626 none

2222 not avail 13 Behavioral Health Therapeutic Home, 945107 Dutton Casey PROVIDENCE OF ARIZONA 2602 W. Thomas Rd. Suite 10 PHOENIX Maricopa AZ 85019 602-455-

4626 none

2223 not avail 13 Behavioral Health Therapeutic Home, 729031 Inman Robin PROVIDENCE OF ARIZONA 2602 W. Thomas Rd. Suite 10 PHOENIX Maricopa AZ 85019 602-455-

4626 [email protected]

2224 not avail 13 Behavioral Health Therapeutic Home, 436000 James Denise PROVIDENCE OF ARIZONA 2602 W. Thomas Rd. Suite 10 PHOENIX Maricopa AZ 85019 602-455-

4626 [email protected]

2225 not avail 13 Behavioral Health Therapeutic Home, 606889 Kmetz Mayra PROVIDENCE OF ARIZONA 2602 W. Thomas Rd. Suite 10 PHOENIX Maricopa AZ 85019 602-455-

4626 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 56

MAG-353-000056

2226 not avail 13 Behavioral Health Therapeutic Home, 457547 Rudin Sheri PROVIDENCE OF ARIZONA 2602 W. Thomas Rd. Suite 10 PHOENIX Maricopa AZ 85019 602-455-

4626 [email protected]

2227 not avail 13 Behavioral Health Therapeutic Home, 875388 Reiger Kathryn PROVIDENCE OF ARIZONA 2602 W. Thomas Rd. Suite 10 PHOENIX Maricopa AZ 85019 602-455-

4626 none

2228 not avail 13 Behavioral Health Therapeutic Home, 417848 Sanders Pamelaia PROVIDENCE OF ARIZONA 2602 W. Thomas Rd. Suite 10 PHOENIX Maricopa AZ 85019 602-455-

4626 [email protected]

2229 not avail 13 Behavioral Health Therapeutic Home, 433273 Schroeder Randall PROVIDENCE OF ARIZONA 2602 W. Thomas Rd. Suite 10 PHOENIX Maricopa AZ 85019 602-455-

4626 none

2230 not avail 13 Behavioral Health Therapeutic Home, 888547 Wullenwe

ber Kristine PROVIDENCE OF ARIZONA 2602 W. Thomas Rd. Suite 10 PHOENIX Maricopa AZ 85019 602-455-4626 [email protected]

2231 not avail 13 Behavioral Health Therapeutic Home, 557884 Zink Lori PROVIDENCE OF ARIZONA 2602 W. Thomas Rd. Suite 10 PHOENIX Maricopa AZ 85019 602-455-

4626 [email protected]

2232 9160286 13

Pharmacy, Physician, Nurse Practitioner, Non-Emergency Transportation, Habilitation Provider, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional

COPE Community Services, Inc. 82 S. Stone Ave Tucson PIMA AZ 85701 520-792-3293 [email protected]

2233 not avail 13

Non-Emergency Transportation, Habilitation Provider, Community Service Agency, Crisis Service Provider,

Not Provided LaRosa Enrique AMERICAN FOCUS CARE, INC. 14620 n. cave creek #6 Phoenix Maricopa AZ 85087 602-595-4677 [email protected]

2234 not avail 13

Non-Emergency Transportation, Habilitation Provider, Community Service Agency, Crisis Service Provider,

Not Provided Bernado Duran AMERICAN FOCUS CARE, INC. 14620 n. cave creek #6 Phoenix Maricopa AZ 85087 602-595-4677 [email protected]

2235 not avail 13

Non-Emergency Transportation, Habilitation Provider, Community Service Agency, Crisis Service Provider,

Not Provided Gerald Porter AMERICAN FOCUS CARE, INC. 14620 n. cave creek #6 Phoenix Maricopa AZ 85087 602-595-4677 [email protected]

2236 not avail 13

Non-Emergency Transportation, Habilitation Provider, Community Service Agency, Crisis Service Provider,

Not Provided Manos Ywchari AMERICAN FOCUS CARE, INC. 14620 n. cave creek #6 Phoenix Maricopa AZ 85087 602-595-4677 [email protected]

2237 not avail 13

Non-Emergency Transportation, Habilitation Provider, Community Service Agency, Crisis Service Provider,

Not Provided Robinson Rafael AMERICAN FOCUS CARE, INC. 14620 n. cave creek #6 Phoenix Maricopa AZ 85087 602-595-4677 [email protected]

2238 not avail 13

Non-Emergency Transportation, Habilitation Provider, Community Service Agency, Crisis Service Provider,

Not Provided Solis Emma AMERICAN FOCUS CARE, INC. 14620 n. cave creek #6 Phoenix Maricopa AZ 85087 602-595-4677 [email protected]

2239 not avail 13

Non-Emergency Transportation, Habilitation Provider, Community Service Agency, Crisis Service Provider,

Not Provided LeGrande Amy AMERICAN FOCUS CARE, INC. 14620 n. cave creek #6 Phoenix Maricopa AZ 85087 602-595-4677 [email protected]

2240 not avail 13

Non-Emergency Transportation, Habilitation Provider, Community Service Agency, Crisis Service Provider,

Not Provided Campos Paola AMERICAN FOCUS CARE, INC. 14620 n. cave creek #6 Phoenix Maricopa AZ 85087 602-595-4677 [email protected]

2241 not avail 13

Non-Emergency Transportation, Habilitation Provider, Community Service Agency, Crisis Service Provider,

Not Provided Araujo Alejandro AMERICAN FOCUS CARE, INC. 14620 n. cave creek #6 Phoenix Maricopa AZ 85087 602-595-4677 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 57

MAG-353-000057

2242 not avail 13

Non-Emergency Transportation, Habilitation Provider, Community Service Agency, Crisis Service Provider,

Not Provided Brown Charline AMERICAN FOCUS CARE, INC. 14620 n. cave creek #6 Phoenix Maricopa AZ 85087 602-595-4677 [email protected]

2243 not avail 13

Non-Emergency Transportation, Habilitation Provider, Community Service Agency, Crisis Service Provider,

Not Provided Stalnaker Amy AMERICAN FOCUS CARE, INC. 14620 n. cave creek #6 Phoenix Maricopa AZ 85087 602-595-4677 [email protected]

2244 not avail 13

Non-Emergency Transportation, Habilitation Provider, Community Service Agency, Crisis Service Provider,

Not Provided Aaron Tamara AMERICAN FOCUS CARE, INC. 14620 n. cave creek #6 Phoenix Maricopa AZ 85087 602-595-4677 [email protected]

2245 not avail 13

Non-Emergency Transportation, Habilitation Provider, Community Service Agency, Crisis Service Provider,

Not Provided Beaman Nikole AMERICAN FOCUS CARE, INC. 14620 n. cave creek #6 Phoenix Maricopa AZ 85087 602-595-4677 [email protected]

2246 not avail 13

Non-Emergency Transportation, Habilitation Provider, Community Service Agency, Crisis Service Provider,

Not Provided Lorenzo Ruth AMERICAN FOCUS CARE, INC. 14620 n. cave creek #6 Phoenix Maricopa AZ 85087 602-595-4677 [email protected]

2247 not avail 13

Non-Emergency Transportation, Habilitation Provider, Community Service Agency, Crisis Service Provider,

Not Provided Walker Fernando AMERICAN FOCUS CARE, INC. 14620 n. cave creek #6 Phoenix Maricopa AZ 85087 602-595-4677 [email protected]

2248 not avail 13

Non-Emergency Transportation, Habilitation Provider, Community Service Agency, Crisis Service Provider,

Not Provided Bustamante Erin AMERICAN FOCUS CARE, INC. 14620 n. cave creek #6 Phoenix Maricopa AZ 85087 602-595-

4677 [email protected]

2249 not avail 13

Non-Emergency Transportation, Habilitation Provider, Community Service Agency, Crisis Service Provider,

Not Provided Byrid Lavette AMERICAN FOCUS CARE, INC. 14620 n. cave creek #6 Phoenix Maricopa AZ 85087 602-595-4677 [email protected]

2250 not avail 13

Non-Emergency Transportation, Habilitation Provider, Community Service Agency, Crisis Service Provider,

Not Provided Grobsting Erica AMERICAN FOCUS CARE, INC. 14620 n. cave creek #6 Phoenix Maricopa AZ 85087 602-595-4677 [email protected]

2251 not avail 13

Non-Emergency Transportation, Habilitation Provider, Community Service Agency, Crisis Service Provider,

Not Provided Wells Nancy AMERICAN FOCUS CARE, INC. 14620 n. cave creek #6 Phoenix Maricopa AZ 85087 602-595-4677 [email protected]

2252 not avail 13

Non-Emergency Transportation, Habilitation Provider, Community Service Agency, Crisis Service Provider,

Not Provided Jones Amber AMERICAN FOCUS CARE, INC. 14620 n. cave creek #6 Phoenix Maricopa AZ 85087 602-595-4677 [email protected]

2253 not avail 13

Non-Emergency Transportation, Habilitation Provider, Community Service Agency, Crisis Service Provider,

Not Provided nike rogers AMERICAN FOCUS CARE, INC. 14620 n. cave creek #6 Phoenix Maricopa AZ 85087 602-595-4677 [email protected]

2254 not avail 13

Non-Emergency Transportation, Community Service Agency,

633597 Hope Lives - Vive La Esperanza 1016 E Buckeye Rd Ste 140 and 145 Phoenix Maricopa AZ 85034 855-747-

6522 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 58

MAG-353-000058

2262 not avail 13

Pharmacy, Physician, Nurse Practitioner, Non-Emergency Transportation, Habilitation Provider, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional

562175 Harris Glenn COPE Community Services, Inc. 8050 E. Lakeside Parkway Tucson PIMA AZ 85730 520-584-5820 [email protected]

2263 not avail 13

Pharmacy, Physician, Nurse Practitioner, Non-Emergency Transportation, Habilitation Provider, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional

574479 Garcia Francisco COPE Community Services, Inc. 8050 E. Lakeside Parkway Tucson PIMA AZ 85730 520-584-5820 [email protected]

2264 not avail 13

Pharmacy, Physician, Nurse Practitioner, Non-Emergency Transportation, Habilitation Provider, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional

457240 Puglisi Austin COPE Community Services, Inc. 8050 E. Lakeside Parkway Tucson PIMA AZ 85730 520-584-5820 [email protected]

2265 not avail 13

Pharmacy, Physician, Nurse Practitioner, Non-Emergency Transportation, Habilitation Provider, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional

366792 Hawkins Dale COPE Community Services, Inc. 8050 E. Lakeside Parkway Tucson PIMA AZ 85730 520-584-5820 [email protected]

2266 not avail 13

Pharmacy, Physician, Nurse Practitioner, Non-Emergency Transportation, Habilitation Provider, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional

332291 Danker Lori COPE Community Services, Inc. 8050 E. Lakeside Parkway Tucson PIMA AZ 85730 520-584-5820 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 59

MAG-353-000059

2267 not avail 13

Pharmacy, Physician, Nurse Practitioner, Non-Emergency Transportation, Habilitation Provider, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional

375298 Gordon William COPE Community Services, Inc. 8050 E. Lakeside Parkway Tucson PIMA AZ 85730 520-584-5820 [email protected]

2268 not avail 13

Pharmacy, Physician, Nurse Practitioner, Non-Emergency Transportation, Habilitation Provider, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional

650861 Popeski Lori COPE Community Services, Inc. 8050 E. Lakeside Parkway Tucson PIMA AZ 85730 520-584-5820 [email protected]

2269 not avail 13

Pharmacy, Physician, Nurse Practitioner, Non-Emergency Transportation, Habilitation Provider, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional

177478 Cicarell Robert COPE Community Services, Inc. 8050 E. Lakeside Parkway Tucson PIMA AZ 85730 520-584-5820 [email protected]

2270 not avail 13

Pharmacy, Physician, Nurse Practitioner, Non-Emergency Transportation, Habilitation Provider, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional

509911 Joyce Patricia COPE Community Services, Inc. 8050 E. Lakeside Parkway Tucson PIMA AZ 85730 520-584-5820 [email protected]

2271 not avail 13

Pharmacy, Physician, Nurse Practitioner, Non-Emergency Transportation, Habilitation Provider, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional

538389 Linebaugh Kelly COPE Community Services, Inc. 8050 E. Lakeside Parkway Tucson PIMA AZ 85730 520-584-5820 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 60

MAG-353-000060

2272 not avail 13

Pharmacy, Physician, Nurse Practitioner, Non-Emergency Transportation, Habilitation Provider, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional

828692 Kapinos Linda COPE Community Services, Inc. 8050 E. Lakeside Parkway Tucson PIMA AZ 85730 520-584-5820 [email protected]

2273 not avail 13

Pharmacy, Physician, Nurse Practitioner, Non-Emergency Transportation, Habilitation Provider, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional

286345 Ditmanson Leonard COPE Community Services, Inc. 8050 E. Lakeside Parkway Tucson PIMA AZ 85730 520-584-

5820 [email protected]

2274 not avail 13

Pharmacy, Physician, Nurse Practitioner, Non-Emergency Transportation, Habilitation Provider, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional

619497 Andrea Kathleen COPE Community Services, Inc. 8050 E. Lakeside Parkway Tucson PIMA AZ 85730 520-584-5820 [email protected]

2275 not avail 13

Pharmacy, Physician, Nurse Practitioner, Non-Emergency Transportation, Habilitation Provider, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional

390443 Huggins Delma COPE Community Services, Inc. 8050 E. Lakeside Parkway Tucson PIMA AZ 85730 520-584-5820 [email protected]

2276 not avail 13

Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Community Service Agency,

704404CHEEERS (Center for Health Empowerment Education Employment Recovery Services)

1950 W Heatherbrae Dr. Suites 2, 3, and 5 Phoenix Maricopa AZ 85015 602-246-

7607 [email protected]

2278 not avail 13 Physician 443804 Purewal Satinder Sahara Behavioral Health 6677 W THUNDERBIRD RD STE I-164

GLENDALE Maricopa AZ 85306 623-878-

2100 [email protected]

2280 not avail 13 Physician McCandless Linda Sahara Behavioral Health 6677 W THUNDERBIRD RD STE

I-164 GLENDALE Maricopa AZ 85306 623-878-

2100 [email protected]

2281 9042057 13 Physician Yilmaz Corey Sahara Behavioral Health 6677 W THUNDERBIRD RD STE I-164

GLENDALE Maricopa AZ 85306 623-878-

2100 [email protected]

2282 7300722 13 Physician 9014380 Brunson Andrea Sahara Behavioral Health 6677 W THUNDERBIRD RD STE I-164

GLENDALE Maricopa AZ 85306 623-878-

2100 [email protected]

2283 not avail 13 Physician 916794 Heltzel Laurie Sahara Behavioral Health 6677 W THUNDERBIRD RD STE I-164

GLENDALE Maricopa AZ 85306 623-878-

2100 [email protected]

2285 not avail 13 Behavioral Health Outpatient Clinic,

NCADD of Phoenix Substance Abuse Services 4201 North 16th Street Suite 140 Phoenix Maricopa AZ 85016 (602) 264-

6214 Ext. 4 [email protected]

2291 not avail 13

Non-Emergency Transportation, Habilitation Provider, Community Service Agency,

292728 S.T.A.R. (Stand Together & Recover Centers, Inc.) 2502 E Washington St Phoenix Maricopa AZ 85034 602-231-

0071 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 61

MAG-353-000061

2292 not avail 13

Physician Assistant, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

N/A Babcock Alissa MARC Center of Mesa 4250 E FLORIAN AVE BLDG 1 MESA Maricopa AZ 85206 480-844-1653 alissa.babcock@marccenter,com

2293 not avail 13

Physician Assistant, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

716010 Bell Charles MARC Center of Mesa 4250 E FLORIAN AVE BLDG 1 MESA Maricopa AZ 85206 480-844-1653 [email protected]

2294 not avail 13

Physician Assistant, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

N/A Davey Sally MARC Center of Mesa 4250 E FLORIAN AVE BLDG 1 MESA Maricopa AZ 85206 480-844-1653 [email protected]

2295 not avail 13

Physician Assistant, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

315933 Eggsware Stacy MARC Center of Mesa 4250 E FLORIAN AVE BLDG 1 MESA Maricopa AZ 85206 480-844-1653 [email protected]

2296 not avail 13

Physician Assistant, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

N/A Etinger David MARC Center of Mesa 4250 E FLORIAN AVE BLDG 1 MESA Maricopa AZ 85206 480-844-1653 [email protected]

2297 not avail 13

Physician Assistant, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

330331 Finn Kelly MARC Center of Mesa 4250 E FLORIAN AVE BLDG 1 MESA Maricopa AZ 85206 480-844-1653 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 62

MAG-353-000062

2298 not avail 13

Physician Assistant, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

834061 Fry Lawrence MARC Center of Mesa 4250 E FLORIAN AVE BLDG 1 MESA Maricopa AZ 85206 480-844-1653 [email protected]

2299 not avail 13

Physician Assistant, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

N/A Groenwold Sierra MARC Center of Mesa 4250 E FLORIAN AVE BLDG 1 MESA Maricopa AZ 85206 480-844-

1653 [email protected]

2300 not avail 13

Physician Assistant, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

N/A Hertzel Emma MARC Center of Mesa 4250 E FLORIAN AVE BLDG 1 MESA Maricopa AZ 85206 480-844-1653 [email protected]

2301 not avail 13

Physician Assistant, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

316490 Lenzo Gary MARC Center of Mesa 4250 E FLORIAN AVE BLDG 1 MESA Maricopa AZ 85206 480-844-1653 [email protected]

2302 not avail 13

Physician Assistant, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

N/A McDow Ellen MARC Center of Mesa 4250 E FLORIAN AVE BLDG 1 MESA Maricopa AZ 85206 480-844-1653 [email protected]

2303 not avail 13

Physician Assistant, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

318397 Meek Adalesa MARC Center of Mesa 4250 E FLORIAN AVE BLDG 1 MESA Maricopa AZ 85206 480-844-1653 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 63

MAG-353-000063

2304 not avail 13

Physician Assistant, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

N/A Owen Tanya MARC Center of Mesa 4250 E FLORIAN AVE BLDG 1 MESA Maricopa AZ 85206 480-844-1653 [email protected]

2305 not avail 13

Physician Assistant, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

N/A Riley Gerald MARC Center of Mesa 4250 E FLORIAN AVE BLDG 1 MESA Maricopa AZ 85206 480-844-1653 [email protected]

2306 not avail 13

Physician Assistant, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

381729 Sanchez Roderick MARC Center of Mesa 4250 E FLORIAN AVE BLDG 1 MESA Maricopa AZ 85206 480-844-1653 [email protected]

2307 not avail 13

Physician Assistant, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

809618 Sperling Pamela MARC Center of Mesa 4250 E FLORIAN AVE BLDG 1 MESA Maricopa AZ 85206 480-844-1653 [email protected]

2308 not avail 13

Physician Assistant, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

714356 Stott JoAnne MARC Center of Mesa 4250 E FLORIAN AVE BLDG 1 MESA Maricopa AZ 85206 480-844-1653 [email protected]

2309 not avail 13

Physician Assistant, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

N/A Todd Beth MARC Center of Mesa 4250 E FLORIAN AVE BLDG 1 MESA Maricopa AZ 85206 480-844-1653 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 64

MAG-353-000064

2310 not avail 13

Physician Assistant, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

N/A Watson Byron MARC Center of Mesa 4250 E FLORIAN AVE BLDG 1 MESA Maricopa AZ 85206 480-844-1653 [email protected]

2311 not avail 13

Physician Assistant, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

321491 Wilkinson Jean MARC Center of Mesa 4250 E FLORIAN AVE BLDG 1 MESA Maricopa AZ 85206 480-844-1653 [email protected]

2312 9774455 13 Level II B/H Residence (non IMD), 445100 Tanyi Cornelius EUREKA IMPERIAL RESIDENCE 1740 S HERITAGE DR GILBERT Maricopa AZ 85296 480-264-

2647 [email protected]

2313 9774455 13 Level II B/H Residence (non IMD), 445100 Tanyi Colette EUREKA IMPERIAL RESIDENCE 1740 S HERITAGE DR GILBERT Maricopa AZ 85296 480-264-

2647 [email protected]

2314 9774455 13 Level II B/H Residence (non IMD), 445100 Tanyi Terence EUREKA IMPERIAL RESIDENCE 1740 S HERITAGE DR GILBERT Maricopa AZ 85296 480-264-

2647 [email protected]

2315 9774455 13 Level II B/H Residence (non IMD), 445100 Tanyi Dale EUREKA IMPERIAL RESIDENCE 1740 S HERITAGE DR GILBERT Maricopa AZ 85296 480-264-

2647 [email protected]

2316 9774455 13 Level II B/H Residence (non IMD), 445100 Migyimah Nurein EUREKA IMPERIAL RESIDENCE 1740 S HERITAGE DR GILBERT Maricopa AZ 85296 480-264-

2647 [email protected]

2318 7161948 13 Nurse Practitioner, 263919 Brutus Kiyana Cimmaron Ash Behavioral Healthcare 4066 S. Mariposa Dr Gilbert Maricopa AZ 85297 480-704-4703 [email protected]

2319 not avail 13

Level II B/H Residence (non IMD), Level III B/H Residential (non IMD), Behavioral Health Therapeutic Home,

346412 FSL Pathways - Plata House 613 W. Plata Ave. Mesa Maricopa AZ 85210 602.285.1800

2320 not avail 13

Level II B/H Residence (non IMD), Level III B/H Residential (non IMD), Behavioral Health Therapeutic Home,

346404 FSL Pathways - Fogal House 925 W. Fogal Way Tempe Maricopa AZ 85282 602.285.1800

2321 not avail 13

Level II B/H Residence (non IMD), Level III B/H Residential (non IMD), Behavioral Health Therapeutic Home,

346420 FSL Pathways - Peck House 8963 W. Peck Dr. Glendale Maricopa AZ 85305 602.285.1800

2322 not avail 13

Level II B/H Residence (non IMD), Level III B/H Residential (non IMD), Behavioral Health Therapeutic Home,

346397 FSL Pathways - Sierra Vista House 7145 W. Sierra Vista Dr. Glendale Maricopa AZ 85303 602.285.1800

2323 not avail 13

Level II B/H Residence (non IMD), Level III B/H Residential (non IMD), Behavioral Health Therapeutic Home,

349953 FSL Pathways - Alice House 8744 W. Alice Ave Peoria Maricopa AZ 85345 602.285.1800

2324 not avail 13

Level II B/H Residence (non IMD), Level III B/H Residential (non IMD), Behavioral Health Therapeutic Home,

351578 FSL Pathways - Cherry Hills House 7808 W. Cherry Hills Dr. Peoria Maricopa AZ 85345 602.285.1800

2325 not avail 13

Level II B/H Residence (non IMD), Level III B/H Residential (non IMD), Behavioral Health Therapeutic Home,

369224 FSL Pathways - Meadowbrook House 8719 W. Meadowbrook Ave Phoenix Maricopa AZ 85037 602.285.1800

2326 not avail 13

Level II B/H Residence (non IMD), Level III B/H Residential (non IMD), Behavioral Health Therapeutic Home,

346462 FSL Pathways - Garden House 3927 W. Garden Dr. Phoenix Maricopa AZ 85029 602.285.1800

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 65

MAG-353-000065

2327 not avail 13

Level II B/H Residence (non IMD), Level III B/H Residential (non IMD), Behavioral Health Therapeutic Home,

917065 FSL Pathways - Cabot House 2420 E. John Cabot Rd. Phoenix Maricopa AZ 85032 602.285.1800

2328 not avail 13

Level II B/H Residence (non IMD), Level III B/H Residential (non IMD), Behavioral Health Therapeutic Home,

FSL Pathways - Hearn House 3615 W. Hearn Rd. Phoenix Maricopa AZ 85053 602.285.1800

2329 not avail 13

Level II B/H Residence (non IMD), Level III B/H Residential (non IMD), Behavioral Health Therapeutic Home,

FSL Pathways - Hayward House 4023 W. Hayward Ave. Phoenix Maricopa AZ 85051 602.285.1800

2330 not avail 13

Level II B/H Residence (non IMD), Level III B/H Residential (non IMD), Behavioral Health Therapeutic Home,

FSL Pathways - Watson House 916 E. Watson Dr. Tempe Maricopa AZ 85283 602.285.1800

2331 9719120 13

Laboratory, Physician, Physician Assistant, Nurse Practitioner, DO- Physician Osteopath,

912784 Your Neighborhood Health Center 444 W. Osborn Ste 301 Phoenix Maricopa AZ 85013 6028899401 [email protected]

2333 not avail 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

408801 Carlin Michelle Lifewell Behavioral Wellness 2720 E THOMAS RD STE 250 BLDG C PHOENIX Maricopa AZ 85016

2334 not avail 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

481804 Parker Andrew Lifewell Behavioral Wellness 2720 E THOMAS RD STE 250 BLDG C PHOENIX Maricopa AZ 85016

2335 not avail 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

Lifewell Behavioral Wellness - HIDALGO - SOBER HOUSE 1113 W Hidalgo Phoenix Maricopa AZ 85041 6028082800

2336 not avail 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

Lifewell Behavioral Wellness - CARSON - SOBER HOUSE 1313 W Carson Phoenix Maricopa AZ 85041 6028082800

2337 not avail 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

Lifewell Behavioral Wellness - IRWIN 1414 E Irwin Avenue Phoenix Maricopa AZ 85042 6028082800

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 66

MAG-353-000066

2338 not avail 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

Lifewell Behavioral Wellness - EASTRIDGE - SLP 1522 E Southern Avenue Tempe Maricopa AZ 85282

2339 not avail 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

Lifewell Behavioral Wellness - NEWPORT MESA - SLP 1620 W Southern Avenue Mesa Maricopa AZ 85202

2340 not avail 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

Lifewell Behavioral Wellness - PHEASANT RUN 2222 S Dobson Suite 201 Mesa Maricopa AZ 85202 6028082800

2341 not avail 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

Lifewell Behavioral Wellness - NICOLET 2505 W Beryl Ave Phoenix Maricopa AZ 850210 6028082800

2342 not avail 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

Lifewell Behavioral Wellness - CANTON - SOBER HOUSE 2615 S Canton Mesa Maricopa AZ 85202 6028082800

2343 not avail 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

Lifewell Behavioral Wellness - EAST VALLEY CLUBHOUSE 262 E University Mesa Maricopa AZ 85201 6028082800

2344 not avail 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

Lifewell Behavioral Wellness - SITE III - PHX OUTPT 2720 E Thomas Rd C250 Phoenix Maricopa AZ 85016 6028082800

2345 not avail 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

Lifewell Behavioral Wellness - FAIRMOUNT 3105 E Fairmount Avenue Phoenix Maricopa AZ 85016 6028082800

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 67

MAG-353-000067

2346 not avail 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

Lifewell Behavioral Wellness - SITE VI - SOUTH PHX OUTPT 312 E Southern Phoenix Maricopa AZ 85040 6028082800

2347 not avail 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

Lifewell Behavioral Wellness - 38TH STREET 3122 N 38th Street Phoenix Maricopa AZ 85018 6028082800

2348 not avail 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

Lifewell Behavioral Wellness - PINCHOT APTS - HOUSING 3525 E Pinchot Avenue Phoenix Maricopa AZ 85018 6028082800

2349 not avail 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

Lifewell Behavioral Wellness - DESERT SOL 3623 N 36th Street Phoenix Maricopa AZ 85018 6028082800

2350 not avail 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

Lifewell Behavioral Wellness - TONOPAH 3710 W Tonopah Drive Glendale Maricopa AZ 85308 6028082800

2351 not avail 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

Lifewell Behavioral Wellness - RAIVEN GARDENS 4017 N 40th Street Phoenix Maricopa AZ 85018 6028082800

2352 not avail 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

Lifewell Behavioral Wellness - DARROW 4307 W Darrow Street Laveen Maricopa AZ 85339 6028082800

2353 not avail 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

Lifewell Behavioral Wellness - 36TH ST SERVICES 4335 N 36th Street Phoenix Maricopa AZ 85018 6028082800

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 68

MAG-353-000068

2354 not avail 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

Lifewell Behavioral Wellness - COLTER 5190 N 55th Avenue Glendale Maricopa AZ 85301 6028082800

2355 not avail 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

Lifewell Behavioral Wellness - CAROL ANN 6009 W Carol Ann Way Glendale Maricopa AZ 85306 6028082800

2356 not avail 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

Lifewell Behavioral Wellness - JAY ST - SOBER HOUSE 627 N Jay Street Chandler Maricopa AZ 85225 6028082800

2357 not avail 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

Lifewell Behavioral Wellness - GRANDVIEW 6363 E Grandview Street Mesa Maricopa AZ 85205 6028082800

2358 not avail 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

Lifewell Behavioral Wellness - SHANNON/HARRISON 6643 W Shannon Street Chandler Maricopa AZ 85226 6028082800

2359 not avail 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

Lifewell Behavioral Wellness - 14TH STREET 6813 S 14th Street Phoenix Maricopa AZ 85404 6028082800

2360 not avail 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

Lifewell Behavioral Wellness - SWEETWATER 8043 W Sweetwater Avenue Peoria Maricopa AZ 85381 6028082800

2361 not avail 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

Lifewell Behavioral Wellness - TURNEY 830 E Turney Avenue Phoenix Maricopa AZ 85014 6022740201

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 69

MAG-353-000069

2362 not avail 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

Lifewell Behavioral Wellness - PALM DESERT 8429 N 27th Avenue Phoenix Maricopa AZ 85051 6028082800

2363 not avail 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

Lifewell Behavioral Wellness - PALM LANE 8531 W Palm Lane Phoenix Maricopa AZ 85037 6028082800

2364 not avail 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

Lifewell Behavioral Wellness - MONTE VISTA 8549 W Monte Vista Road Phoenix Maricopa AZ 85037 6028082800

2365 not avail 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

Lifewell Behavioral Wellness - PLAZA 8601 E Plaza Scottsdale Maricopa AZ 85250 6028082800

2366 not avail 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

Lifewell Behavioral Wellness - CYPRESS 8724 W Cypress Street Phoenix Maricopa AZ 85037 6028082800

2367 not avail 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

Lifewell Behavioral Wellness - SORRENTO 901 S Dobson Road Mesa Maricopa AZ 85202 6025995627

2368 not avail 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

Lifewell Behavioral Wellness - AMELIA 925 E Amelia Ave Phoenix Maricopa AZ 85012 6028082800

2369 not avail 13

Nurse Practitioner, Non-Emergency Transportation, Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor,

Lifewell Behavioral Wellness - HIGHLAND 9428 W Highland Avenue Phoenix Maricopa AZ 85037 6028082800

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 70

MAG-353-000070

2370 not avail 13 Behavioral Health Outpatient Clinic, 961129 Ahmad Fayyaz CHOICES Network - Enclave 1642 S Priest Dr. Bldg. 6,

Suite 101 Tempe, Maricopa AZ 85281-6204

602/278-1414

2371 not avail 13 Behavioral Health Outpatient Clinic, 196768 Alikhan Inayat CHOICES Network - Townley 8836 N 23rd Ave, #B-1 Phoenix Maricopa AZ 85021-

4175480/929-5100

2372 not avail 13 Behavioral Health Outpatient Clinic, 215972 Amato Hilda CHOICES Network - Townley 8836 N 23rd Ave, #B-1 Phoenix Maricopa AZ 85021-

4175480/929-5100

2373 not avail 13 Behavioral Health Outpatient Clinic, 699513 Ashamalla Hany CHOICES Network - Townley 8836 N 23rd Ave, #B-1 Phoenix Maricopa AZ 85021-

4175480/929-5100

2374 not avail 13 Behavioral Health Outpatient Clinic, 390336 Borodkin Stephen CHOICES Network - Enclave 1642 S Priest Dr. Bldg. 6,

Suite 101 Tempe, Maricopa AZ 85281-6204

602/278-1414

2375 not avail 13 Behavioral Health Outpatient Clinic, 461434 Cowley Larry CHOICES Network - Arcadia 3311 N 44th St. #100 Phoenix Maricopa AZ 85018-

6446602/957-2220

2376 not avail 13 Behavioral Health Outpatient Clinic, 419318 Don Laura CHOICES Network - Midtown 3333 N 7th Ave Phoenix Maricopa AZ 85013-

4108602/264-4331

2377 not avail 13 Behavioral Health Outpatient Clinic, 621338 Goble LaDan CHOICES Network - Arcadia 3311 N 44th St. #100 Phoenix Maricopa AZ 85018-

6446602/957-2220

2378 not avail 13 Behavioral Health Outpatient Clinic, 605667 Jain Neeta CHOICES Network - Enclave 1642 S Priest Dr. Bldg. 6,

Suite 101 Tempe, Maricopa AZ 85281-6204

602/278-1414

2379 not avail 13 Behavioral Health Outpatient Clinic, 970352 Keck John CHOICES Network - Townley 8836 N 23rd Ave, #B-1 Phoenix Maricopa AZ 85021-

4175480/929-5100

2380 not avail 13 Behavioral Health Outpatient Clinic, 494733 Malik Fareen CHOICES Network - Enclave 1642 S Priest Dr. Bldg. 6,

Suite 101 Tempe, Maricopa AZ 85281-6204

602/278-1414

2381 not avail 13 Behavioral Health Outpatient Clinic, 113320 McCrum Ivan CHOICES Network - W McDowell 5030 W McDowell Rd. #16 Phoenix Maricopa AZ 85035-

3945602/944-9810

2382 not avail 13 Behavioral Health Outpatient Clinic, 553688 Ramaiya Dharmindr

a CHOICES Network - Enclave 1642 S Priest Dr. Bldg. 6, Suite 101 Tempe, Maricopa AZ 85281-

6204602/278-1414

2383 not avail 13 Behavioral Health Outpatient Clinic, 430083 Rosette Joyce CHOICES Network - Central 3003 N Central Ave, #305 Phoenix Maricopa AZ 85012-

2904602/952-3400

2384 not avail 13 Behavioral Health Outpatient Clinic, 384320 Starkey Penny CHOICES Network - Enclave 1642 S Priest Dr. Bldg. 6,

Suite 101 Tempe, Maricopa AZ 85281-6204

602/278-1414

2386 not avail 13Non-Emergency Transportation, Crisis Service Provider,

515025 ComTrans 2336 E Magnolia St Phoenix Maricopa AZ 85034 602-231-0102 [email protected]

2388 not avail 13 Habilitation Provider, Moreno Jose STARLINK SERVICES LLC 10975 W MADISON ST AVONDALE Maricopa AZ 85323 602 384

7179

2389 not avail 13 Habilitation Provider, Innis Comfort STARLINK SERVICES LLC 10975 W MADISON ST AVONDALE Maricopa AZ 85323 602 384

7179

2390 not avail 13 Habilitation Provider, Simonds Prudence STARLINK SERVICES LLC 10975 W MADISON ST AVONDALE Maricopa AZ 85323 602 384

7179

2391 not avail 13 Habilitation Provider, Roman Jeanie STARLINK SERVICES LLC 10975 W MADISON ST AVONDALE Maricopa AZ 85323 602 384

7179

2392 not avail 13 Habilitation Provider, Ramirez Benjamin STARLINK SERVICES LLC 10975 W MADISON ST AVONDALE Maricopa AZ 85323 602 384

7179

2393 not avail 13 Habilitation Provider, Muniz Angela STARLINK SERVICES LLC 10975 W MADISON ST AVONDALE Maricopa AZ 85323 602 384

7179

2394 not avail 13 Habilitation Provider, Maccracken Kathleen STARLINK SERVICES LLC 10975 W MADISON ST AVONDA

LE Maricopa AZ 85323 602 384 7179

2395 not avail 13 Habilitation Provider, Burdin Aubrey STARLINK SERVICES LLC 10975 W MADISON ST AVONDALE Maricopa AZ 85323 602 384

7179

2396 not avail 13 Habilitation Provider, Etu Alex STARLINK SERVICES LLC 10975 W MADISON ST AVONDALE Maricopa AZ 85323 602 384

7179

2397 not avail 13 Habilitation Provider, Okundaye Bridget STARLINK SERVICES LLC 10975 W MADISON ST AVONDALE Maricopa AZ 85323 602 384

7179

2398 not avail 13 Habilitation Provider, Rukesha Philomene STARLINK SERVICES LLC 10975 W MADISON ST AVONDA

LE Maricopa AZ 85323 602 384 7179

2399 not avail 13 Habilitation Provider, jalloh Mariama STARLINK SERVICES LLC 10975 W MADISON ST AVONDALE Maricopa AZ 85323 602 384

7179

2400 9795390 13 Behavioral Health Outpatient Clinic, 875734 Addington Heather FRIENDSHIP CMHC 730 E. Highland Ave PHOENIX Maricopa AZ 85014 6022416656 [email protected]

2401 9670436 13 Behavioral Health Outpatient Clinic, 875734 Beydler-

Stanton D.Jeanne FRIENDSHIP CMHC 730 E. Highland Ave PHOENIX Maricopa AZ 85014 6022416656 [email protected]

2402 9172415 13 Behavioral Health Outpatient Clinic, 875734 Cohen Linda FRIENDSHIP CMHC 730 E. Highland Ave PHOENIX Maricopa AZ 85014 6022416656 lcohen@friendshipcmhcorg

2403 9213671 13 Behavioral Health Outpatient Clinic, 875734 Diaz Megan FRIENDSHIP CMHC 730 E. Highland Ave PHOENIX Maricopa AZ 85014 6022416656 [email protected]

2404 9512947 13 Behavioral Health Outpatient Clinic, 875734 Henry Andrew FRIENDSHIP CMHC 730 E. Highland Ave PHOENIX Maricopa AZ 85014 6022416656 [email protected]

2405 9804407 13 Behavioral Health Outpatient Clinic, 875734 Jameson Edna FRIENDSHIP CMHC 730 E. Highland Ave PHOENIX Maricopa AZ 85014 6022416656 [email protected]

2406 not avail 13 Behavioral Health Outpatient Clinic, 875734 Jesus Frank FRIENDSHIP CMHC 730 E. Highland Ave PHOENIX Maricopa AZ 85014 6022416656 [email protected]

2407 9399761 13 Behavioral Health Outpatient Clinic, 875734 Johnson Ray FRIENDSHIP CMHC 730 E. Highland Ave PHOENIX Maricopa AZ 85014 6022416656 [email protected]

2408 9442409 13 Behavioral Health Outpatient Clinic, 875734 Paquette Marilyn FRIENDSHIP CMHC 730 E. Highland Ave PHOENIX Maricopa AZ 85014 6022416656 [email protected]

2409 9059464 13 Behavioral Health Outpatient Clinic, 875734 Sharp Linda FRIENDSHIP CMHC 730 E. Highland Ave PHOENIX Maricopa AZ 85014 6022416656 [email protected]

2410 not avail 13 Behavioral Health Outpatient Clinic, 875734 Sotelo-

Martin Erika FRIENDSHIP CMHC 730 E. Highland Ave PHOENIX Maricopa AZ 85014 6022416656 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 71

MAG-353-000071

2411 9606463 13 Behavioral Health Outpatient Clinic, 875734 Vatz Bonnie FRIENDSHIP CMHC 730 E. Highland Ave PHOENIX Maricopa AZ 85014 6022416656 [email protected]

2412 9846936 13 Behavioral Health Outpatient Clinic, 875734 Webb James FRIENDSHIP CMHC 730 E. Highland Ave PHOENIX Maricopa AZ 85014 6022416656 [email protected]

2413 not avail 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor, Tribal Traditional Services Practi

CHAVEZ TORRES ANASELI

NATIVE AMERICAN COMMUNITY HEALTH CENTER INC 4520 N CENTRAL AVE STE 620 PHOENIX Maricopa AZ 85012 6022795262x

3205 [email protected]

2414 not avail 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor, Tribal Traditional Services Practi

HOLTSOI ROBERT NATIVE AMERICAN COMMUNITY HEALTH CENTER INC 4520 N CENTRAL AVE STE 620 PHOENIX Maricopa AZ 85012 6022795262x

3205 [email protected]

2415 not avail 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor, Tribal Traditional Services Practi

HUFF DENNIS NATIVE AMERICAN COMMUNITY HEALTH CENTER INC 4520 N CENTRAL AVE STE 620 PHOENIX Maricopa AZ 85012 6022795262x

3205 dhuff@nachcicom

2416 not avail 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor, Tribal Traditional Services Practi

994609 JIRAK MAYRA NATIVE AMERICAN COMMUNITY HEALTH CENTER INC 4520 N CENTRAL AVE STE 620 PHOENIX Maricopa AZ 85012 6022795262x

3205 [email protected]

2417 not avail 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor, Tribal Traditional Services Practi

910217 JOHNSTON ROY NATIVE AMERICAN COMMUNITY

HEALTH CENTER INC 4520 N CENTRAL AVE STE 620 PHOENIX Maricopa AZ 85012 6022795262x3205 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 72

MAG-353-000072

2418 not avail 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor, Tribal Traditional Services Practi

LEON ERINN NATIVE AMERICAN COMMUNITY HEALTH CENTER INC 4520 N CENTRAL AVE STE 620 PHOENIX Maricopa AZ 85012 6022795262x

3205 [email protected]

2419 not avail 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor, Tribal Traditional Services Practi

NIELSEN EMILY NATIVE AMERICAN COMMUNITY HEALTH CENTER INC 4520 N CENTRAL AVE STE 620 PHOENIX Maricopa AZ 85012 6022795262x

3205 [email protected]

2420 not avail 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor, Tribal Traditional Services Practi

PHILPOT WENDY NATIVE AMERICAN COMMUNITY HEALTH CENTER INC 4520 N CENTRAL AVE STE 620 PHOENIX Maricopa AZ 85012 6022795262x

3205 [email protected]

2421 not avail 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor, Tribal Traditional Services Practi

ROBERTS JESSICA NATIVE AMERICAN COMMUNITY

HEALTH CENTER INC 4520 N CENTRAL AVE STE 620 PHOENIX Maricopa AZ 85012 6022795262x3205 [email protected]

2422 not avail 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor, Tribal Traditional Services Practi

450425 TERRAZAS

BRIDGETTE

NATIVE AMERICAN COMMUNITY HEALTH CENTER INC 4520 N CENTRAL AVE STE 620 PHOENIX Maricopa AZ 85012 6022795262x

3205 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 73

MAG-353-000073

2423 not avail 13

Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Licensed Independent Substance Abuse Counselor, Tribal Traditional Services Practi

YAZZIE JANICE NATIVE AMERICAN COMMUNITY HEALTH CENTER INC 4520 N CENTRAL AVE STE 620 PHOENIX Maricopa AZ 85012 6022795262x

3205 [email protected]

2424 9991466 13

Laboratory, Physician, Physician Assistant, Nurse Practitioner, DO- Physician Osteopath,

407779 Aire- Oaihimire Victor Your Neighborhood Health Center 444 W. Osborn Ste 301 Phoenix Maricopa AZ 85013 6028899401

2425 9428087 13

Laboratory, Physician, Physician Assistant, Nurse Practitioner, DO- Physician Osteopath,

912784 Ali James Your Neighborhood Health Center 444 W. Osborn Ste 301 Phoenix Maricopa AZ 85013 6028899401

2426 not avail 13

Laboratory, Physician, Physician Assistant, Nurse Practitioner, DO- Physician Osteopath,

648745 Boatright Amy Your Neighborhood Health Center 444 W. Osborn Ste 301 Phoenix Maricopa AZ 85013 6028899401

2427 not avail 13

Laboratory, Physician, Physician Assistant, Nurse Practitioner, DO- Physician Osteopath,

862913 Bonilla Gabriel Your Neighborhood Health Center 444 W. Osborn Ste 301 Phoenix Maricopa AZ 85013 6028899401

2428 not avail 13

Laboratory, Physician, Physician Assistant, Nurse Practitioner, DO- Physician Osteopath,

648751 Clark Randolph Your Neighborhood Health Center 444 W. Osborn Ste 301 Phoenix Maricopa AZ 85013 6028899401

2429 not avail 13

Laboratory, Physician, Physician Assistant, Nurse Practitioner, DO- Physician Osteopath,

457105 Downhour Warren Your Neighborhood Health Center 444 W. Osborn Ste 301 Phoenix Maricopa AZ 85013 6028899401

2430 9784595 13

Laboratory, Physician, Physician Assistant, Nurse Practitioner, DO- Physician Osteopath,

558064 Lee Robin Your Neighborhood Health Center 444 W. Osborn Ste 301 Phoenix Maricopa AZ 85013 6028899401

2431 not avail 13

Laboratory, Physician, Physician Assistant, Nurse Practitioner, DO- Physician Osteopath,

291005 Macleod Robert Your Neighborhood Health Center 444 W. Osborn Ste 301 Phoenix Maricopa AZ 85013 6028899401

2433 not avail 13 Level II B/H Residence (non IMD), LATEEF MARYAN APOLLO HEALTH CARE, INC 8322 W. OREGON AVE GLENDA

LE Maricopa AZ 85305 623-877-0055

2434 not avail 13 Level II B/H Residence (non IMD),

ROWSHANGAH APOLLO HEALTH CARE, INC 8322 W. OREGON AVE GLENDA

LE Maricopa AZ 85305 623-877-0055

2436 not avail 13

Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

Bitzer Christina Bayless Behavioral Health Solutions 3620 N 3RD ST PHOENIX Maricopa AZ 85012 6022307373 [email protected]

2437 not avail 13

Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

Buscemi Linda Bayless Behavioral Health Solutions 3620 N 3RD ST PHOENIX Maricopa AZ 85012 6022307373 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 74

MAG-353-000074

2438 not avail 13

Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

Castillo Kelly Bayless Behavioral Health Solutions 3620 N 3RD ST PHOENIX Maricopa AZ 85012 6022307373 [email protected]

2439 not avail 13

Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

DeGraffe Jennifer Bayless Behavioral Health Solutions 3620 N 3RD ST PHOENIX Maricopa AZ 85012 6022307373 [email protected]

2440 not avail 13

Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

Delgado Daisy Bayless Behavioral Health Solutions 3620 N 3RD ST PHOENIX Maricopa AZ 85012 6022307373 [email protected]

2441 not avail 13

Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

Greenberg Pamela Bayless Behavioral Health Solutions 3620 N 3RD ST PHOENIX Maricopa AZ 85012 6022307373 [email protected]

2442 not avail 13

Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

326597 Holmes Elizabeth Bayless Behavioral Health Solutions 3620 N 3RD ST PHOENIX Maricopa AZ 85012 6022307373 [email protected]

2443 not avail 13

Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

Humphries Marian Bayless Behavioral Health Solutions 3620 N 3RD ST PHOENIX Maricopa AZ 85012 6022307373 [email protected]

2444 not avail 13

Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

410879 Leet Marcelle Bayless Behavioral Health Solutions 3620 N 3RD ST PHOENIX Maricopa AZ 85012 6022307373 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 75

MAG-353-000075

2445 not avail 13

Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

473303 Martelli Joanne Bayless Behavioral Health Solutions 3620 N 3RD ST PHOENIX Maricopa AZ 85012 6022307373 [email protected]

2446 not avail 13

Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

535032 Maymana Mary Bayless Behavioral Health Solutions 3620 N 3RD ST PHOENIX Maricopa AZ 85012 6022307373 [email protected]

2447 not avail 13

Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

705866 McCarthy Marianne Bayless Behavioral Health Solutions 3620 N 3RD ST PHOENIX Maricopa AZ 85012 6022307373 [email protected]

2448 not avail 13

Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

McCue Monica Bayless Behavioral Health Solutions 3620 N 3RD ST PHOENIX Maricopa AZ 85012 6022307373 [email protected]

2449 not avail 13

Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

Raybon Debra Bayless Behavioral Health Solutions 3620 N 3RD ST PHOENIX Maricopa AZ 85012 6022307373 [email protected]

2450 not avail 13

Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

Robinson Amanda Bayless Behavioral Health Solutions 3620 N 3RD ST PHOENIX Maricopa AZ 85012 6022307373 [email protected]

2451 not avail 13

Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

Rodriguez Maria Bayless Behavioral Health Solutions 3620 N 3RD ST PHOENIX Maricopa AZ 85012 6022307373 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 76

MAG-353-000076

2452 not avail 13

Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

Ross Zach Bayless Behavioral Health Solutions 3620 N 3RD ST PHOENIX Maricopa AZ 85012 6022307373 [email protected]

2453 not avail 13

Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

Sassano Abigail Bayless Behavioral Health Solutions 3620 N 3RD ST PHOENIX Maricopa AZ 85012 6022307373 [email protected]

2454 not avail 13

Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

Sherwood David Bayless Behavioral Health Solutions 3620 N 3RD ST PHOENIX Maricopa AZ 85012 6022307373 [email protected]

2455 not avail 13

Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

Steen Sarah Bayless Behavioral Health Solutions 3620 N 3RD ST PHOENIX Maricopa AZ 85012 6022307373 [email protected]

2456 not avail 13

Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

784638 Suchomel Cathy Bayless Behavioral Health Solutions 3620 N 3RD ST PHOENIX Maricopa AZ 85012 6022307373 [email protected]

2457 not avail 13

Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

Van Bogaert Detza Bayless Behavioral Health Solutions 3620 N 3RD ST PHOENIX Maricopa AZ 85012 6022307373 [email protected]

2458 not avail 13

Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

Waddington Laura Bayless Behavioral Health Solutions 3620 N 3RD ST PHOENIX Maricopa AZ 85012 6022307373 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 77

MAG-353-000077

2459 not avail 13

Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

Wall Suzi Bayless Behavioral Health Solutions 3620 N 3RD ST PHOENIX Maricopa AZ 85012 6022307373 [email protected]

2460 not avail 13

Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

Wattay Matthew Bayless Behavioral Health Solutions 3620 N 3RD ST PHOENIX Maricopa AZ 85012 6022307373 [email protected]

2461 not avail 13

Psychologist, Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Marriage/Family Therapist, Licensed Professional Counselor, Community Service Agency,

Zang Amanda Bayless Behavioral Health Solutions 3620 N 3RD ST PHOENIX Maricopa AZ 85012 6022307373 [email protected]

2462 not avail 13

Physician, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker,

889602 Mason Howard Valle Del Sol 3807 N 7TH STREET PHOENIX Maricopa AZ 85014 6022586797 [email protected]

2463 4119254 13

Physician, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker,

276114 Benjamin Eric Valle Del Sol 3807 N 7TH STREET PHOENIX Maricopa AZ 85014 6022586797 [email protected]

2464 not avail 13

Physician, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker,

357394 Michel Jaime Valle Del Sol 3807 N 7TH STREET PHOENIX Maricopa AZ 85014 6022586797 [email protected]

2465 7220572 13

Physician, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker,

702911 Lateef Maryam Valle Del Sol 3807 N 7TH STREET PHOENIX Maricopa AZ 85014 6022586797 [email protected]

2466 4313982 13

Physician, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker,

209008 Nagy Ferenc Valle Del Sol 3807 N 7TH STREET PHOENIX Maricopa AZ 85014 6022586797 [email protected]

2467 4124593 13

Physician, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker,

128910 Simon Harvey Valle Del Sol 3807 N 7TH STREET PHOENIX Maricopa AZ 85014 6022586797 [email protected]

2468 9269878 13

Physician, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker,

731373 Young Anne Valle Del Sol 3807 N 7TH STREET PHOENIX Maricopa AZ 85014 6022586797 [email protected]

2469 7787219 13

Physician, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker,

Ahlers Gordon Valle Del Sol 3807 N 7TH STREET PHOENIX Maricopa AZ 85014 6022586797 [email protected]

2472 9880904 13Behavioral Health Outpatient Clinic, Crisis Service Provider,

697557 Lawless Denise EMPACT SUICIDE PREVENTION 618 S. Madison Drive TEMPE Maricopa AZ 85281 480-784-1514 [email protected]

2473 not avail 13Behavioral Health Outpatient Clinic, Crisis Service Provider,

639073 Leight Kimberly EMPACT SUICIDE PREVENTION 21300 N JOHN WAYNE PKWY STE 103 MARICOPA Maricopa AZ 85139 520-316-

6068 [email protected]

2474 4240823 13Behavioral Health Outpatient Clinic, Crisis Service Provider,

271461 Patel Vinod EMPACT SUICIDE PREVENTION 4425 W OLIVE AVE STE 194 GLENDALE Maricopa AZ 85302 480-784-

1514 [email protected]

2475 7110843 13Behavioral Health Outpatient Clinic, Crisis Service Provider,

819899 Pigeon Gail EMPACT SUICIDE PREVENTION 618 S. Madison Drive TEMPE Maricopa AZ 85281 480-784-1514 [email protected]

2476 5180507 13Behavioral Health Outpatient Clinic, Crisis Service Provider,

714271 Press Benet EMPACT SUICIDE PREVENTION 4425 W OLIVE AVE STE 194 GLENDALE Maricopa AZ 85302 480-784-

1514 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 78

MAG-353-000078

2477 not avail 13Behavioral Health Outpatient Clinic, Crisis Service Provider,

958035 Redwood-Martinez Linda EMPACT SUICIDE PREVENTION 4425 W OLIVE AVE STE 194 GLENDA

LE Maricopa AZ 85302 480-784-1514 [email protected]

2478 9541517 13Behavioral Health Outpatient Clinic, Crisis Service Provider,

410481 Silverman William EMPACT SUICIDE PREVENTION 618 S. Madison Drive TEMPE Maricopa AZ 85281 480-784-1514 [email protected]

2479 not avail 13Behavioral Health Outpatient Clinic, Crisis Service Provider,

514473 Tan-Fermo Letty EMPACT SUICIDE PREVENTION 618 S. Madison Drive TEMPE Maricopa AZ 85281 480-784-

1514 [email protected]

2480 not avail 13Behavioral Health Outpatient Clinic, Crisis Service Provider,

625665 Zamania Arash EMPACT SUICIDE PREVENTION 618 S. Madison Drive TEMPE Maricopa AZ 85281 480-784-1514 [email protected]

2481 7598312 13Behavioral Health Outpatient Clinic, Crisis Service Provider,

EMPACT SUICIDE PREVENTION 21300 North John Wayne Parkway

Units: 102 & 103

MARICOPA Maricopa AZ 85139 520-316-

6068

2482 not avail 13

Non-Emergency Transportation, Behavioral Health Outpatient Clinic, Community Service Agency,

Klein MitchelCHEEERS (Center for Health Empowerment Education Employment Recovery Services)

1950 W Heatherbrae Dr. Suites 2, 3, and 5 Phoenix Maricopa AZ 85015 602-246-

7607 x116 [email protected]

2483 not avail 13

Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Professional Counselor, Community Service Agency,

Davis Debbie MARLEY HOUSE 9201 N 5TH STREET PHOENIX Maricopa AZ 85020

2484 not avail 13

Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Professional Counselor, Community Service Agency,

Cotton Shannon MARLEY HOUSE 9201 N 5TH STREET PHOENIX Maricopa AZ 85020

2485 not avail 13

Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Professional Counselor, Community Service Agency,

Leon Jessica MARLEY HOUSE 9201 N 5TH STREET PHOENIX Maricopa AZ 85020

2486 not avail 13

Nurse Practitioner, Behavioral Health Outpatient Clinic, Licensed Clinical Social Worker, Licensed Professional Counselor, Community Service Agency,

Wyse Kristin MARLEY HOUSE 9201 N 5TH STREET PHOENIX Maricopa AZ 85020

2487 not avail 13

Physician Assistant, Behavioral Health Outpatient Clinic, Licensed Independent Substance Abuse Counselor,

271544 Sucher Michel Community Medical Service 3825 N 24TH ST PHOENIX Maricopa AZ 85016 [email protected]

2488 not avail 13

Physician Assistant, Behavioral Health Outpatient Clinic, Licensed Independent Substance Abuse Counselor,

N/A LaCasse Mindy Community Medical Service 3825 N 24TH ST PHOENIX Maricopa AZ 85016 [email protected]

2489 not avail 13

Physician Assistant, Behavioral Health Outpatient Clinic, Licensed Independent Substance Abuse Counselor,

N/A Donaldson Michele Community Medical Service 3825 N 24TH ST PHOENIX Maricopa AZ 85016 [email protected]

2490 not avail 13

Physician Assistant, Behavioral Health Outpatient Clinic, Licensed Independent Substance Abuse Counselor,

N/A Neese Judy Community Medical Service 3825 N 24TH ST PHOENIX Maricopa AZ 85016 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 79

MAG-353-000079

2491 not avail 13Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic,

Felix Elizabeth FLORENCE CRITTENTON SERVI 715 W MARIPOSA ST PHOENIX Maricopa AZ 85013 602-274-7318 [email protected]

2492 not avail 13Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic,

Houseman Rachel FLORENCE CRITTENTON SERVI 715 W MARIPOSA ST PHOENIX Maricopa AZ 85013 602-274-

7318 [email protected]

2493 not avail 13Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic,

Horton Meka FLORENCE CRITTENTON SERVI 715 W MARIPOSA ST PHOENIX Maricopa AZ 85013 602-274-7318 [email protected]

2494 not avail 13Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic,

Niedzialek Sara FLORENCE CRITTENTON SERVI 715 W MARIPOSA ST PHOENIX Maricopa AZ 85013 602-274-7318 [email protected]

2495 not avail 13Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic,

Sampedro Patricia FLORENCE CRITTENTON SERVI 715 W MARIPOSA ST PHOENIX Maricopa AZ 85013 602-274-7318 [email protected]

2496 not avail 13Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic,

390435 Shuch Robert FLORENCE CRITTENTON SERVI 715 W MARIPOSA ST PHOENIX Maricopa AZ 85013 602-274-7318 [email protected]

2497 not avail 13Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic,

Sierra Florence FLORENCE CRITTENTON SERVI 715 W MARIPOSA ST PHOENIX Maricopa AZ 85013 602-274-7318 [email protected]

2498 not avail 13Level II B/H Residence (non IMD), Behavioral Health Outpatient Clinic,

Whittington Dawn FLORENCE CRITTENTON SERVI 715 W MARIPOSA ST PHOENIX Maricopa AZ 85013 602-274-

7318 [email protected]

2499 not avail 13Habilitation Provider, Level II B/H Residence (non IMD),

114601 Baraka House I 3740 W Caron St. Phoenix AZ 85051 602-249-2753 [email protected]

2500 not avail 13

Behavioral Health Outpatient Clinic, Behavioral Health Therapeutic Home,

59536 Callesen Mark ARIZONA'S CHILDREN ASSOC. 2833 N 3RD ST PHOENIX Maricopa AZ 85004 6022343733 [email protected]

2501 not avail 13

Behavioral Health Outpatient Clinic, Behavioral Health Therapeutic Home,

126830 Chundu Rupa ARIZONA'S CHILDREN ASSOC. 2833 N 3RD ST PHOENIX Maricopa AZ 85004 6022343733 [email protected]

2502 not avail 13

Behavioral Health Outpatient Clinic, Behavioral Health Therapeutic Home,

788507 Hines Derrick ARIZONA'S CHILDREN ASSOC. 2833 N 3RD ST PHOENIX Maricopa AZ 85004 6022343733 [email protected]

2503 5259313 13

Behavioral Health Outpatient Clinic, Behavioral Health Therapeutic Home,

259681 Kaminski Leslie ARIZONA'S CHILDREN ASSOC. 2833 N 3RD ST PHOENIX Maricopa AZ 85004 6022343733 [email protected]

2504 9388805 13

Behavioral Health Outpatient Clinic, Behavioral Health Therapeutic Home,

746414 Krotec Judith ARIZONA'S CHILDREN ASSOC. 2833 N 3RD ST PHOENIX Maricopa AZ 85004 6022343733 [email protected]

2505 not avail 13

Behavioral Health Outpatient Clinic, Behavioral Health Therapeutic Home,

116492 McMorran Elizabeth ARIZONA'S CHILDREN ASSOC. 2833 N 3RD ST PHOENIX Maricopa AZ 85004 6022343733 [email protected]

2506 not avail 13

Behavioral Health Outpatient Clinic, Behavioral Health Therapeutic Home,

367493 Paul Sharon ARIZONA'S CHILDREN ASSOC. 2833 N 3RD ST PHOENIX Maricopa AZ 85004 6022343733 [email protected]

2507 not avail 13

Behavioral Health Outpatient Clinic, Behavioral Health Therapeutic Home,

625665 Zamanian Arash ARIZONA'S CHILDREN ASSOC. 2833 N 3RD ST PHOENIX Maricopa AZ 85004 6022343733 [email protected]

2508 not avail 13

Behavioral Health Outpatient Clinic, Behavioral Health Therapeutic Home,

127176 Ali Erum ARIZONA'S CHILDREN ASSOC. 2833 N 3RD ST PHOENIX Maricopa AZ 85004 6022343733 [email protected]

2509 not avail 13

Behavioral Health Outpatient Clinic, Behavioral Health Therapeutic Home,

603756 Krishnamoorthy Divya ARIZONA'S CHILDREN ASSOC. 2833 N 3RD ST PHOENIX Maricopa AZ 85004 6022343733 [email protected]

2510 not avail 13

Behavioral Health Outpatient Clinic, Behavioral Health Therapeutic Home,

155987 ARIZONA'S CHILDREN ASSOC. 2800 N. Hwy 87 Mesquite Bldg Coolidge Maricopa AZ 85228 520-723-

6893 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 80

MAG-353-000080

2511 not avail 13

Behavioral Health Outpatient Clinic, Behavioral Health Therapeutic Home,

356700 ARIZONA'S CHILDREN ASSOC. 11327 W. Bell Road Surprise Maricopa AZ 85374 623-583-2523 [email protected]

2512 not avail 13 Behavioral Health Outpatient Clinic,

AGUIRRE DOYLE MARITZA TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2513 not avail 13 Behavioral Health Outpatient Clinic, ALDAMA ERIK TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2514 not avail 13 Behavioral Health Outpatient Clinic, ALDANA ELSA TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2515 not avail 13 Behavioral Health Outpatient Clinic, ALLEN KATHRY

N TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-8705 [email protected]

2516 not avail 13 Behavioral Health Outpatient Clinic,

ALLINGTON DAWNA TOUCHSTONE BEHAVIORAL HEALTH 2150 S Country Club Dr. Ste 35 Mesa Maricopa AZ 85210 480-456-

9800 [email protected]

2517 not avail 13 Behavioral Health Outpatient Clinic,

ANDERSON LORI TOUCHSTONE BEHAVIORAL HEALTH 4614 E Shea Blvd. Ste D250 Phoenix Maricopa AZ 85028 602-953-

9070 [email protected]

2518 not avail 13 Behavioral Health Outpatient Clinic, AVENT TANISIA TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2519 not avail 13 Behavioral Health Outpatient Clinic, BAEHR

ANITA "KATHRYN"

TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-8705 [email protected]

2520 not avail 13 Behavioral Health Outpatient Clinic, 889347 BAILEY CANDAC

E TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-8705 [email protected]

2521 not avail 13 Behavioral Health Outpatient Clinic, BAKER MELISSA TOUCHSTONE BEHAVIORAL HEALTH 4614 E Shea Blvd. Ste D250 Phoenix Maricopa AZ 85028 602-953-

9070 [email protected]

2522 not avail 13 Behavioral Health Outpatient Clinic,

BARBER-LINDSTROM

GRETCHEN TOUCHSTONE BEHAVIORAL HEALTH 2150 S Country Club Dr. Ste 35 Mesa Maricopa AZ 85210 480-456-

[email protected]

2523 not avail 13 Behavioral Health Outpatient Clinic,

BATCHAN

SHANNON TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2524 not avail 13 Behavioral Health Outpatient Clinic, BOLDEN QUINTEL

LA TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-8705 [email protected]

2525 not avail 13 Behavioral Health Outpatient Clinic, BOSGAL KRYSTAL TOUCHSTONE BEHAVIORAL HEALTH 2150 S Country Club Dr. Ste 35 Mesa Maricopa AZ 85210 480-456-

9800 [email protected]

2526 not avail 13 Behavioral Health Outpatient Clinic, BROOKS ABDIAS TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2527 not avail 13 Behavioral Health Outpatient Clinic, BROWN TRACI TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2528 not avail 13 Behavioral Health Outpatient Clinic,

BURGESS

CHRISTINE TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2529 not avail 13 Behavioral Health Outpatient Clinic, CALL AMY TOUCHSTONE BEHAVIORAL HEALTH 2150 S Country Club Dr. Ste 35 Mesa Maricopa AZ 85210 480-456-

9800 [email protected]

2530 not avail 13 Behavioral Health Outpatient Clinic,

CAMACHO YANET TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2531 not avail 13 Behavioral Health Outpatient Clinic,

CAMARGO CARI TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2532 not avail 13 Behavioral Health Outpatient Clinic,

CAROLLO PAUL TOUCHSTONE BEHAVIORAL HEALTH 4614 E Shea Blvd. Ste D250 Phoenix Maricopa AZ 85028 602-953-

9070 [email protected]

2533 not avail 13 Behavioral Health Outpatient Clinic, CARPIO MARIA TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2534 not avail 13 Behavioral Health Outpatient Clinic, CEPHAS ANTONIO TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2535 not avail 13 Behavioral Health Outpatient Clinic,

CERVANTES BRENDA TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2536 not avail 13 Behavioral Health Outpatient Clinic, CLINE JENNIFE

R TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-8705 [email protected]

2537 not avail 13 Behavioral Health Outpatient Clinic, CONDITT VICTORI

A TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-8705 [email protected]

2538 not avail 13 Behavioral Health Outpatient Clinic,

CORONA-TORRES

EDUARDO TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2539 not avail 13 Behavioral Health Outpatient Clinic, CUELLAR LETICIA TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2540 not avail 13 Behavioral Health Outpatient Clinic, CURTIS SCOTT TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2541 not avail 13 Behavioral Health Outpatient Clinic,

DANGERFIELD PETER TOUCHSTONE BEHAVIORAL HEALTH 4614 E Shea Blvd. Ste D250 Phoenix Maricopa AZ 85028 602-953-

9070 [email protected]

2542 not avail 13 Behavioral Health Outpatient Clinic, DEJESUS LUIS TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2543 not avail 13 Behavioral Health Outpatient Clinic,

DORSETT BRET TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2544 not avail 13 Behavioral Health Outpatient Clinic,

DRISCOLL

CHRISTINE TOUCHSTONE BEHAVIORAL HEALTH 4614 E Shea Blvd. Ste D250 Phoenix Maricopa AZ 85028 602-953-

9070 [email protected]

2545 not avail 13 Behavioral Health Outpatient Clinic, DUARTE BRUNI TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2546 not avail 13 Behavioral Health Outpatient Clinic, DYE MICHELL

E TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-8705 [email protected]

2547 not avail 13 Behavioral Health Outpatient Clinic, EGAN KIMBERL

Y TOUCHSTONE BEHAVIORAL HEALTH 4614 E Shea Blvd. Ste D250 Phoenix Maricopa AZ 85028 602-953-9070 [email protected]

2548 not avail 13 Behavioral Health Outpatient Clinic,

EGGLESTON JAMES TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 81

MAG-353-000081

2549 not avail 13 Behavioral Health Outpatient Clinic, ERVIN VICKI TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2550 not avail 13 Behavioral Health Outpatient Clinic,

FONTAINE LAURA TOUCHSTONE BEHAVIORAL HEALTH 2150 S Country Club Dr. Ste 35 Mesa Maricopa AZ 85210 480-456-

9800 [email protected]

2551 not avail 13 Behavioral Health Outpatient Clinic, FORERO ROCIO TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2552 not avail 13 Behavioral Health Outpatient Clinic,

GANDARA NANCY TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2553 not avail 13 Behavioral Health Outpatient Clinic, GERMAIN TAMMY TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2554 not avail 13 Behavioral Health Outpatient Clinic,

GONZALEZ FIDEL TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2555 not avail 13 Behavioral Health Outpatient Clinic,

GONZALEZ

VERONICA TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2556 not avail 13 Behavioral Health Outpatient Clinic, GOOD REBECC

A TOUCHSTONE BEHAVIORAL HEALTH 2150 S Country Club Dr. Ste 35 Mesa Maricopa AZ 85210 480-456-9800 [email protected]

2557 not avail 13 Behavioral Health Outpatient Clinic, GOODEN SHEMEKI

A TOUCHSTONE BEHAVIORAL HEALTH 2150 S Country Club Dr. Ste 35 Mesa Maricopa AZ 85210 480-456-9800 [email protected]

2558 not avail 13 Behavioral Health Outpatient Clinic,

GUTOWSKI

DANIELLE TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2559 not avail 13 Behavioral Health Outpatient Clinic,

GUZMAN-HICKS CRISTAL TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2560 not avail 13 Behavioral Health Outpatient Clinic,

HAGEMAN DEVON TOUCHSTONE BEHAVIORAL HEALTH 4614 E Shea Blvd. Ste D250 Phoenix Maricopa AZ 85028 602-953-

9070 [email protected]

2561 not avail 13 Behavioral Health Outpatient Clinic,

HERRERA EMELY TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2562 not avail 13 Behavioral Health Outpatient Clinic,

HICKS-BARCLAY DELICIA TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2563 not avail 13 Behavioral Health Outpatient Clinic, HORTON ISAAC TOUCHSTONE BEHAVIORAL HEALTH 4614 E Shea Blvd. Ste D250 Phoenix Maricopa AZ 85028 602-953-

9070 [email protected]

2564 not avail 13 Behavioral Health Outpatient Clinic, HUDSON JOSHUA TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2565 not avail 13 Behavioral Health Outpatient Clinic, HUDSON KOREN TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2566 not avail 13 Behavioral Health Outpatient Clinic,

HUFFMAN ASHLEY TOUCHSTONE BEHAVIORAL HEALTH 4614 E Shea Blvd. Ste D250 Phoenix Maricopa AZ 85028 602-953-

9070 [email protected]

2567 not avail 13 Behavioral Health Outpatient Clinic, HUNTER SONYA TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2568 not avail 13 Behavioral Health Outpatient Clinic, JENSEN CURTIS TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2569 not avail 13 Behavioral Health Outpatient Clinic,

JOHNSON RYAN TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2570 not avail 13 Behavioral Health Outpatient Clinic, KALFF LAUREEN TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2571 not avail 13 Behavioral Health Outpatient Clinic,

KETTERLING ALAN TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2572 not avail 13 Behavioral Health Outpatient Clinic, KILLEN RICHARD TOUCHSTONE BEHAVIORAL HEALTH 4614 E Shea Blvd. Ste D250 Phoenix Maricopa AZ 85028 602-953-

9070 [email protected]

2573 not avail 13 Behavioral Health Outpatient Clinic,

KNICKERBOCKER JULIA TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2574 not avail 13 Behavioral Health Outpatient Clinic, KOPATZ PERRY TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2575 not avail 13 Behavioral Health Outpatient Clinic, KRAVITZ ALIZA TOUCHSTONE BEHAVIORAL HEALTH 2150 S Country Club Dr. Ste 35 Mesa Maricopa AZ 85210 480-456-

9800 [email protected]

2576 not avail 13 Behavioral Health Outpatient Clinic, LA RUE SUZANN

E TOUCHSTONE BEHAVIORAL HEALTH 2150 S Country Club Dr. Ste 35 Mesa Maricopa AZ 85210 480-456-9800 [email protected]

2577 not avail 13 Behavioral Health Outpatient Clinic, LABAT EDEN TOUCHSTONE BEHAVIORAL HEALTH 2150 S Country Club Dr. Ste 35 Mesa Maricopa AZ 85210 480-456-

9800 [email protected]

2578 not avail 13 Behavioral Health Outpatient Clinic, LOERA JOSE TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2579 not avail 13 Behavioral Health Outpatient Clinic, LOGAN JENNIFE

R TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-8705 [email protected]

2580 not avail 13 Behavioral Health Outpatient Clinic, LOPEZ LISSETH TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2581 not avail 13 Behavioral Health Outpatient Clinic, LUCERO ANDREW TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2582 not avail 13 Behavioral Health Outpatient Clinic, LYNCH JAY TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2583 not avail 13 Behavioral Health Outpatient Clinic,

MARQUEZ ENRIQUE TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2584 not avail 13 Behavioral Health Outpatient Clinic,

MAXWELL PAMELA TOUCHSTONE BEHAVIORAL HEALTH 2150 S Country Club Dr. Ste 35 Mesa Maricopa AZ 85210 480-456-

9800 [email protected]

2585 not avail 13 Behavioral Health Outpatient Clinic, MCGADY ALISHA TOUCHSTONE BEHAVIORAL HEALTH 4614 E Shea Blvd. Ste D250 Phoenix Maricopa AZ 85028 602-953-

9070 [email protected]

2586 not avail 13 Behavioral Health Outpatient Clinic, MENG MOLLY TOUCHSTONE BEHAVIORAL HEALTH 4614 E Shea Blvd. Ste D250 Phoenix Maricopa AZ 85028 602-953-

9070 [email protected]

2587 not avail 13 Behavioral Health Outpatient Clinic,

MESHULA

CHRISTOPHER TOUCHSTONE BEHAVIORAL HEALTH 2150 S Country Club Dr. Ste 35 Mesa Maricopa AZ 85210 480-456-

9800 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 82

MAG-353-000082

2588 not avail 13 Behavioral Health Outpatient Clinic, MIRANDA CARLOS TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2589 not avail 13 Behavioral Health Outpatient Clinic,

MNEIMNE SOMMER TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2590 not avail 13 Behavioral Health Outpatient Clinic, MOBLEY JENNIFE

R TOUCHSTONE BEHAVIORAL HEALTH 2150 S Country Club Dr. Ste 35 Mesa Maricopa AZ 85210 480-456-9800 [email protected]

2591 not avail 13 Behavioral Health Outpatient Clinic, MOJICA LORENZ

O TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-8705 [email protected]

2592 not avail 13 Behavioral Health Outpatient Clinic,

MONTOYA ARTHUR TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2593 not avail 13 Behavioral Health Outpatient Clinic, NEALON TRICIA TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2594 not avail 13 Behavioral Health Outpatient Clinic, NESSLER MARSHA TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2595 not avail 13 Behavioral Health Outpatient Clinic,

OPUROKU JOHN TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2596 not avail 13 Behavioral Health Outpatient Clinic,

PACKARD LAURA TOUCHSTONE BEHAVIORAL HEALTH 4614 E Shea Blvd. Ste D250 Phoenix Maricopa AZ 85028 602-953-

9070 [email protected]

2597 not avail 13 Behavioral Health Outpatient Clinic, PAYNE DIANA TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2598 not avail 13 Behavioral Health Outpatient Clinic, PENA JORGE TOUCHSTONE BEHAVIORAL HEALTH 2150 S Country Club Dr. Ste 35 Mesa Maricopa AZ 85210 480-456-

9800 [email protected]

2599 not avail 13 Behavioral Health Outpatient Clinic, PENA JORGE A. TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2600 not avail 13 Behavioral Health Outpatient Clinic, PEREZ JULIANA TOUCHSTONE BEHAVIORAL HEALTH 2150 S Country Club Dr. Ste 35 Mesa Maricopa AZ 85210 480-456-

9800 [email protected]

2601 not avail 13 Behavioral Health Outpatient Clinic, PEREZ SANDRA

"LILI" TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-8705 [email protected]

2602 not avail 13 Behavioral Health Outpatient Clinic,

PETTINGILL JOHN TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2603 not avail 13 Behavioral Health Outpatient Clinic, PITTS TARA TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2604 not avail 13 Behavioral Health Outpatient Clinic, POGUE CHELSEA TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2605 not avail 13 Behavioral Health Outpatient Clinic, POOLE BRITTAN

Y TOUCHSTONE BEHAVIORAL HEALTH 4614 E Shea Blvd. Ste D250 Phoenix Maricopa AZ 85028 602-953-9070 [email protected]

2606 not avail 13 Behavioral Health Outpatient Clinic, POOLE MARZINE

TTA TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-8705 [email protected]

2607 not avail 13 Behavioral Health Outpatient Clinic, PORTER OCTAVIO TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2608 not avail 13 Behavioral Health Outpatient Clinic,

PUMPHREY JEREMY TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2609 not avail 13 Behavioral Health Outpatient Clinic, RAMIREZ MARIO TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2610 not avail 13 Behavioral Health Outpatient Clinic, RAMIREZ ROCIO TOUCHSTONE BEHAVIORAL HEALTH 2150 S Country Club Dr. Ste 35 Mesa Maricopa AZ 85210 480-456-

9800 [email protected]

2611 not avail 13 Behavioral Health Outpatient Clinic, REGINO ROSALIA TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2612 not avail 13 Behavioral Health Outpatient Clinic,

REYES-ACUNA

GUADALUPE TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

[email protected]

2613 not avail 13 Behavioral Health Outpatient Clinic,

RICHARDSON ANDREA TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2614 not avail 13 Behavioral Health Outpatient Clinic, RINALDO ELIZABE

TH TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-8705 [email protected]

2615 not avail 13 Behavioral Health Outpatient Clinic, RIVERA KIMBERL

EY TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-8705 [email protected]

2616 not avail 13 Behavioral Health Outpatient Clinic,

ROCHA CORTEZ ALESSI TOUCHSTONE BEHAVIORAL HEALTH 4614 E Shea Blvd. Ste D250 Phoenix Maricopa AZ 85028 602-953-

9070 [email protected]

2617 not avail 13 Behavioral Health Outpatient Clinic, RUIZ PAUL TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2618 not avail 13 Behavioral Health Outpatient Clinic, RUNKLE JESSKA TOUCHSTONE BEHAVIORAL HEALTH 4614 E Shea Blvd. Ste D250 Phoenix Maricopa AZ 85028 602-953-

9070 [email protected]

2619 not avail 13 Behavioral Health Outpatient Clinic, SALAS JENNIFE

R TOUCHSTONE BEHAVIORAL HEALTH 4614 E Shea Blvd. Ste D250 Phoenix Maricopa AZ 85028 602-953-9070 [email protected]

2620 not avail 13 Behavioral Health Outpatient Clinic,

SAVERINO FRANK TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2621 not avail 13 Behavioral Health Outpatient Clinic, SCHENZ JOHN TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2622 not avail 13 Behavioral Health Outpatient Clinic, SEXTON CHERYL TOUCHSTONE BEHAVIORAL HEALTH 4614 E Shea Blvd. Ste D250 Phoenix Maricopa AZ 85028 602-953-

9070 [email protected]

2623 not avail 13 Behavioral Health Outpatient Clinic, SHOVER ALICIA TOUCHSTONE BEHAVIORAL HEALTH 4614 E Shea Blvd. Ste D250 Phoenix Maricopa AZ 85028 602-953-

9070 [email protected]

2624 not avail 13 Behavioral Health Outpatient Clinic, SIMON ELIA TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2625 not avail 13 Behavioral Health Outpatient Clinic, SIMPSON SHANNO

N TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-8705 [email protected]

2626 not avail 13 Behavioral Health Outpatient Clinic, SLUTER JENNIFE

R TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-8705 [email protected]

2627 not avail 13 Behavioral Health Outpatient Clinic, SMITH CRAIG TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 83

MAG-353-000083

2628 not avail 13 Behavioral Health Outpatient Clinic, SOTO ELIZABE

TH TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-8705 [email protected]

2629 not avail 13 Behavioral Health Outpatient Clinic,

STEELE-MITTS CARRIE TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2630 not avail 13 Behavioral Health Outpatient Clinic, THOM JUDITH TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2631 not avail 13 Behavioral Health Outpatient Clinic, TORRES ADRIANA TOUCHSTONE BEHAVIORAL HEALTH 2150 S Country Club Dr. Ste 35 Mesa Maricopa AZ 85210 480-456-

9800 [email protected]

2632 not avail 13 Behavioral Health Outpatient Clinic, TOVELLA THERES

A TOUCHSTONE BEHAVIORAL HEALTH 4614 E Shea Blvd. Ste D250 Phoenix Maricopa AZ 85028 602-953-9070 [email protected]

2633 not avail 13 Behavioral Health Outpatient Clinic,

TREJO-GARCIA CANDIDA TOUCHSTONE BEHAVIORAL HEALTH 2150 S Country Club Dr. Ste 35 Mesa Maricopa AZ 85210 480-456-

9800 [email protected]

2634 not avail 13 Behavioral Health Outpatient Clinic,

TREVIZO-MENDOZA

VANESSA TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2635 not avail 13 Behavioral Health Outpatient Clinic,

VALENZUELA PERLA TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2636 not avail 13 Behavioral Health Outpatient Clinic, VARELA PRISCILL

A TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-8705 [email protected]

2637 not avail 13 Behavioral Health Outpatient Clinic, VARGAS NOE TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2638 not avail 13 Behavioral Health Outpatient Clinic, VICUNA MINERVA TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2639 not avail 13 Behavioral Health Outpatient Clinic,

WEATHERSBEE LYNDA TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2640 not avail 13 Behavioral Health Outpatient Clinic,

WECHSLER

KIMBERLEE TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2641 not avail 13 Behavioral Health Outpatient Clinic, WOODS SEAN TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2642 not avail 13 Behavioral Health Outpatient Clinic,

WURSTER TIFFANY TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2643 not avail 13 Behavioral Health Outpatient Clinic,

YARBROUGH MISTY TOUCHSTONE BEHAVIORAL HEALTH 15648 N 35TH AVE PHOENIX Maricopa AZ 85053 623-930-

8705 [email protected]

2644 not avail 13 Habilitation Provider, Clermont Anna NEUROLOGIC MUSIC THERAPY 2702 N. 3RD ST. SUITE #1000 PHOENIX Maricopa AZ 85004 [email protected]

2645 not avail 13 Habilitation Provider, Ericksen Bethany NEUROLOGIC MUSIC THERAPY 2702 N. 3RD ST. SUITE #1000 PHOENIX Maricopa AZ 85004 [email protected]

2646 not avail 13 Habilitation Provider, Hempel Jennifer NEUROLOGIC MUSIC THERAPY 2702 N. 3RD ST. SUITE #1000 PHOENIX Maricopa AZ 85004 [email protected]

2647 not avail 13 Habilitation Provider, Jones Bethany NEUROLOGIC MUSIC THERAPY 2702 N. 3RD ST. SUITE #1000 PHOENIX Maricopa AZ 85004 [email protected]

2648 not avail 13 Habilitation Provider, Lloyd Melissa NEUROLOGIC MUSIC THERAPY 2702 N. 3RD ST. SUITE #1000 PHOENIX Maricopa AZ 85004 [email protected]

2649 not avail 13 Habilitation Provider, Oliver Suzanne NEUROLOGIC MUSIC THERAPY 2702 N. 3RD ST. SUITE #1000 PHOENIX Maricopa AZ 85004 [email protected]

2650 not avail 13 Habilitation Provider, Studebaker Sarah NEUROLOGIC MUSIC THERAPY 2702 N. 3RD ST. SUITE

#1000 PHOENIX Maricopa AZ 85004 [email protected]

2651 not avail 13 Habilitation Provider, 593043 Olivas Adriana NEUROLOGIC MUSIC THERAPY 2702 N. 3RD ST. SUITE #1000 PHOENIX Maricopa AZ 85004 [email protected]

2652 not avail 13 Habilitation Provider, 189822 Belnap Deborah ACCENT ON FAMILY CARE SVC 19322 E CALLE DE FLORES QUEEN CREEK Maricopa AZ 85142 480-518-

2285 [email protected]

2653 not avail 13

Habilitation Provider, Behavioral Health Outpatient Clinic, Licensed Marriage/Family Therapist, Licensed Professional Counselor,

n/a Irwin Jessica SEEK ARIZONA 1830 S ALMA SCHOOL RD STE 130 MESA Maricopa AZ 85210 4809020771 [email protected]

2654 not avail 13

Habilitation Provider, Behavioral Health Outpatient Clinic, Licensed Marriage/Family Therapist, Licensed Professional Counselor,

n/a Pringsl Brian SEEK ARIZONA 1830 S ALMA SCHOOL RD STE 130 MESA Maricopa AZ 85210 4809020771 [email protected]

2655 not avail 13

Habilitation Provider, Behavioral Health Outpatient Clinic, Licensed Marriage/Family Therapist, Licensed Professional Counselor,

n/a Sabin Laura SEEK ARIZONA 1830 S ALMA SCHOOL RD STE 130 MESA Maricopa AZ 85210 4809020771 [email protected]

2656 not avail 13

Habilitation Provider, Behavioral Health Outpatient Clinic, Licensed Marriage/Family Therapist, Licensed Professional Counselor,

n/a Frey Eric SEEK ARIZONA 1830 S ALMA SCHOOL RD STE 130 MESA Maricopa AZ 85210 4809020771 [email protected]

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 84

MAG-353-000084

2657 not avail 13

Habilitation Provider, Behavioral Health Outpatient Clinic, Licensed Marriage/Family Therapist, Licensed Professional Counselor,

SEEK ARIZONA 1848 N 52nd Street Phoenix Maricopa AZ 85008 4809020771

2658 not avail 13

Habilitation Provider, Behavioral Health Outpatient Clinic, Licensed Marriage/Family Therapist, Licensed Professional Counselor,

SEEK ARIZONA 921 S Val Vista Dr. Unit 104 Mesa Maricopa AZ 85204 4809020771

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 85

MAG-353-000085

Level of Agreement

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- ExecutedLetter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- ExecutedLetter of Intent- Executed

Letter of Intent- Executed

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 86

MAG-353-000086

Letter of Intent- ExecutedLetter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 87

MAG-353-000087

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 88

MAG-353-000088

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- ExecutedLetter of Intent- ExecutedLetter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 89

MAG-353-000089

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- ExecutedLetter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 90

MAG-353-000090

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 91

MAG-353-000091

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 92

MAG-353-000092

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- ExecutedLetter of Intent- ExecutedLetter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 93

MAG-353-000093

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 94

MAG-353-000094

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- ExecutedLetter of Intent- ExecutedLetter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 95

MAG-353-000095

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 96

MAG-353-000096

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- ExecutedLetter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- ExecutedLetter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- ExecutedLetter of Intent- Executed

Letter of Intent- Executed

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 97

MAG-353-000097

Letter of Intent- Executed

Letter of Intent- ExecutedLetter of Intent- ExecutedLetter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- ExecutedLetter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 98

MAG-353-000098

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- ExecutedLetter of Intent- ExecutedLetter of Intent- ExecutedLetter of Intent- ExecutedLetter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 99

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 100

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 101

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 102

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 103

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 104

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 105

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 106

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 107

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 108

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 109

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 110

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 111

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 112

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 113

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 114

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 115

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 116

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 117

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 118

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 119

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 120

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 121

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 122

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 123

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 124

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 125

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 126

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 127

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 128

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 129

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 130

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 131

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 132

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 133

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 134

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 135

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 136

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 137

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 138

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 139

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 140

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 141

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 142

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 143

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 144

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 145

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 146

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 147

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 148

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 149

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 150

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 151

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 152

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 153

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 154

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 155

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Letter of Intent- Executed

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 156

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 157

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 158

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 159

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 160

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 161

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 162

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 163

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Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 164

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Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 165

MAG-353-000165

Letter of Intent- Executed

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Letter of Intent- Executed

Letter of Intent- ExecutedLetter of Intent- Executed

Letter of Intent- Executed

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 166

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Letter of Intent- Executed

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 167

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Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 168

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Letter of Intent- ExecutedLetter of Intent- ExecutedLetter of Intent- ExecutedLetter of Intent- ExecutedLetter of Intent- ExecutedLetter of Intent- Executed

Letter of Intent- Executed

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Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Letter of Intent- Executed

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 169

MAG-353-000169

Letter of Intent- Executed

Letter of Intent- Executed

Offeror: Mercy Maricopa Integrated CareADHS13-00002257 Section 6.1.b, Network Provider Listing 170

MAG-353-000170