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

Westside Behavioral Health LLC

Organization Assisted Living Facility · NPI 1043028673

Westside Behavioral Health LLC is an Assisted Living Facility in Kingman, Arizona. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
4
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

853 Pala Mesa Dr
Kingman, AZ 86409-3923
Phone: (928) 279-2661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (Behavioral Disturbances) (primary) Taxonomy 3104A0630X
Assisted Living Facility Taxonomy 310400000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility Taxonomy 320600000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Taxonomy 320900000X

Record details

NPI number1043028673
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tii Mambilla — Ceo · (928) 279-2661
NPI enumeratedDecember 30, 2024
Last updated in NPPESDecember 30, 2024
Certification dateDecember 29, 2024
Mailing address853 Pala Mesa Dr, Kingman, AZ 86409-3923

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