Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Community Medical Services Arizona-Private, LLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1396204921

Community Medical Services Arizona-Private, LLC is an Addiction (Substance Use Disorder) Counselor in Lake Havasu City, 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

329 S Lake Havasu Ave
Lake Havasu City, AZ 86403-9368
Phone: (928) 764-7266
Fax: (928) 302-3615
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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 number1396204921
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nick Stavros — Ceo · (602) 284-8886
Other names Community Medical Services; Community Medical Services
NPI enumeratedMarch 13, 2019
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026
Mailing address8444 N 90th St Ste 100, Scottsdale, AZ 85258-4437

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