Provider Type Icon

CATHOLIC COMMUNITY SERVICES IN WESTERN AZ NPI 1255437836


NPI Information

NPI: 1255437836
Provider Name: CATHOLIC COMMUNITY SERVICES IN WESTERN AZ
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
690 E 32ND ST
YUMA, AZ
ZIP 85365
Phone: (928) 341-9400
Get Directions

CATHOLIC COMMUNITY SERVICES IN WESTERN AZ is a counselor in Yuma, AZ. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. CATHOLIC COMMUNITY SERVICES IN WESTERN AZ NPI is 1255437836. The provider is registered as an organization entity type.

The provider's business location address is:

690 E 32ND ST
YUMA, AZ
ZIP 85365-437
Phone: (928) 341-9400

The provider's authorized official is Eva Mendez-counts .
The authorized official title is Executive Director and has the following contact phone number (928) 341-9400.

The enumeration date for this NPI number is 9/15/2006 and was last updated on 6/20/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA0600XClinic/CenterAdult Day CareAL3382DARIZONANo
2332U00000XHome Delivered MealsNo
3101YM0800XCounselorMental HealthOTC6081ARIZONANo
4101YA0400XCounselorAddiction (Substance Use Disorder)OTC6081ARIZONANo
5101Y00000XCounselorOTC6081ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1062125MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.