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

Sober Mountain LLC

Organization Rehabilitation Clinic/Center · NPI 1356051122

Sober Mountain LLC is a Rehabilitation Clinic/Center in Show Low, Arizona. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

580 E Old Linden Rd Ste 3
Show Low, AZ 85901-4817
Phone: (928) 551-6099
Show map & directions

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

Specialties & licences

Rehabilitation Clinic/Center (primary) Taxonomy 261QR0400X
Substance Abuse Rehabilitation Facility Taxonomy 324500000X

Record details

NPI number1356051122
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ammon Mangum — Owner/ Partner · (928) 551-6099
NPI enumeratedDecember 1, 2022
Last updated in NPPESJanuary 19, 2026
Certification dateJanuary 19, 2026
Mailing address580 E Old Linden Rd Ste 7, Show Low, AZ 85901-4817

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