Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Community Medical Services Arizona-Private, LLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1053978460

Community Medical Services Arizona-Private, LLC is an Addiction (Substance Use Disorder) Counselor in Show Low, Arizona. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
5
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

1500 E Woolford Rd Ste 101
Show Low, AZ 85901-7105
Phone: (928) 251-2030
Fax: (928) 892-5103
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Methadone Clinic (primary) Taxonomy 261QM2800X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Community/Behavioral Health Agency Taxonomy 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X

Record details

NPI number1053978460
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nick Stavros — Ceo · (602) 248-8886
Other names Community Medical Services-Show Low; Community Medical Services-Show Low
NPI enumeratedMay 21, 2019
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025
Mailing address8444 N 90th St Ste 100, Scottsdale, AZ 85258-4437

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