Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Blackbridge Behavioral Health LLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1376456533

Blackbridge Behavioral Health LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Goodyear, Arizona. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15811 W Cocopah St
Goodyear, AZ 85338-9413
Phone: (480) 912-0555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X

Record details

NPI number1376456533
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Serah Mukoko — Owner/Administrator · (480) 912-0555
NPI enumeratedSeptember 28, 2026
Last updated in NPPESSeptember 28, 2026
Certification dateSeptember 27, 2026
Mailing address15811 W Cocopah St, Goodyear, AZ 85338-9413

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