Provider Demographics
NPI:1881576163
Name:APPLIED MENTAL HEALTH SERVICES LLC
Entity type:Organization
Organization Name:APPLIED MENTAL HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:S
Authorized Official - Last Name:FAUCETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-573-3931
Mailing Address - Street 1:8790 E VIA DE VENTURA #4095
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-3373
Mailing Address - Country:US
Mailing Address - Phone:316-573-3931
Mailing Address - Fax:
Practice Address - Street 1:8790 E VIA DE VENTURA #4095
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-3373
Practice Address - Country:US
Practice Address - Phone:316-573-3931
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-25
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty