PROFESSIONAL COUNSELING ASSOCIATES LLC NPI 1568581031

NPI Information

NPI: 1568581031
Provider Name: PROFESSIONAL COUNSELING ASSOCIATES, LLC
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
1830 S ALMA SCHOOL RD
SUITE 112
MESA, AZ
ZIP 85210
Phone: (480) 730-6222
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PROFESSIONAL COUNSELING ASSOCIATES, LLC is an addiction (substance use disorder) counselor in Mesa, AZ. PROFESSIONAL COUNSELING ASSOCIATES, LLC NPI is 1568581031. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1830 S ALMA SCHOOL RD
SUITE 112
MESA, AZ
ZIP 85210-056
Phone: (480) 730-6222
Fax: (480) 730-5929

The provider's authorized official is Raymond Edward Branton .
The authorized official title is Owner, Partner and has the following contact phone number (480) 730-6222.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes
2	101YM0800X	Counselor	Mental Health			X
3	101YP2500X	Counselor	Professional			X
4	103TC0700X	Psychologist	Clinical	3719	ARIZONA	X
5	103TC1900X	Psychologist	Counseling			X
6	103TC2200X	Psychologist	Clinical Child & Adolescent			X
7	103TF0000X	Psychologist	Family			X
8	103TF0200X	Psychologist	Forensic			X
9	103TM1800X	Psychologist	Intellectual and Developmental Disabilities			X
10	103TP2701X	Psychologist	Group Psychotherapy			X
11	103T00000X	Psychologist				X
12	1041C0700X	Social Worker	Clinical			X
13	106H00000X	Marriage & Family Therapist				X

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

NPI Synchronization or Removal

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