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

Scottsdale Providence Recovery Center

Organization Mental Health Counselor · NPI 1821705104

Scottsdale Providence Recovery Center is a Mental Health Counselor in Scottsdale, Arizona. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
6

Practice location Address checks out

9389 E Via Del Sol Dr
Scottsdale, AZ 85255-5072
Phone: (480) 284-7440
Fax: (480) 284-4178
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X
Mental Health Counselor Taxonomy 101YM0800X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X
Substance Abuse Rehabilitation Facility Taxonomy 324500000X

Record details

NPI number1821705104
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationScottsdale Providence Recovery Center
Authorized official Daniel Nichols — Clinical Director · (602) 448-4055
Other names Scottsdale Providence Residential Center; Scottsdale Providence Residential; Scottsdale Providence Residential
NPI enumeratedNovember 4, 2022
Last updated in NPPESDecember 5, 2022
Certification dateDecember 5, 2022
Mailing address8889 E Via Linda, Scottsdale, AZ 85258-5420

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