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

Desert Bolt Behavioral LLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1649897414

Desert Bolt Behavioral LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Anthem, Arizona. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
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

42201 N 41st Dr Ste 160
Anthem, AZ 85086-3803
Phone: (850) 527-0042
Fax: (480) 296-0002
Show map & directions

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
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1649897414
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Valery Nkendong — Ceo · (480) 527-0042
Other names Desert Bolt Behavioral Llc; Desert Bolt Behavioral Llc
NPI enumeratedJune 28, 2020
Last updated in NPPESJuly 5, 2021
Certification dateJuly 5, 2021
Mailing address42201 N 41st Dr Ste 160, Anthem, AZ 85086-3803

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