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

Kairos Moment Healthcare and Behavioral Clinic - LLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1457130676

Kairos Moment Healthcare and Behavioral Clinic - LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Peoria, Arizona. Registered with an NPI since 2023.

In the registry since
2023
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

9652 W Patrick Ln
Peoria, AZ 85383-4319
Phone: (602) 410-0958
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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
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1457130676
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Adesola Izasomeh — Nurse Practitioner · (602) 410-0958
Other names Kairos Moment Healthcare And Behavioral Clinic; Kairos Moment Healthcare And Behavioral Clinic
NPI enumeratedSeptember 26, 2023
Last updated in NPPESOctober 28, 2024
Certification dateOctober 22, 2024
Mailing address9652 W Patrick Ln, Peoria, AZ 85383-4319

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