LA PAZ COUNSELING SERVICES, PLLC (LA PAZ COUNSELING) - NPI NUMBER 1639396591

Summary

Provider Name: LA PAZ COUNSELING SERVICES, PLLC (LA PAZ COUNSELING)

NPI Number: 1639396591

Clasification: Community/Behavioral Health (251S00000X)

Address:
1017 S LAGUNA AVE
PARKER, AZ
ZIP 85344

Phone Number: (928) 669-6906



Detailed Information

LA PAZ COUNSELING SERVICES, PLLC is a community/behavioral health in Parker, AZ. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. The assigned NPI number for this provider is 1639396591 and is registered as an organization entity type.
The provider Is Doing Business As La Paz Counseling.

The provider's business address is:

1017 S LAGUNA AVE
PARKER, AZ
ZIP 85344-945
Phone: (928) 669-6906
Fax: (928) 669-6909

The provider's authorized official is Gerald Thomas Szymanski .
The authorized official title is President and has the following contact phone number (928) 669-6906.

The enumeration date for this NPI number is 4/19/2007 and was last updated on 7/8/2007.

Map - Location of Practice

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Taxonomy Codes

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 251S00000X Community/Behavioral Health Yes

NPI Record

No. Field Name Field Value
1 NPI 1639396591
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name LA PAZ COUNSELING SERVICES, PLLC
5 Provider Other Organization Name LA PAZ COUNSELING
6 Provider Other Organization Name Type Code 3
7 Provider First Line Business Practice Location Address 1017 S LAGUNA AVE
8 Provider Business Practice Location Address City Name PARKER
9 Provider Business Practice Location Address State Name AZ
10 Provider Business Practice Location Address Postal Code 853444945
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 9286696906
13 Provider Business Practice Location Address Fax Number 9286696909
14 Provider Enumeration Date 4/19/2007
15 Last Update Date 7/8/2007
16 Authorized Official Last Name SZYMANSKI
17 Authorized Official First Name GERALD
18 Authorized Official Middle Name THOMAS
19 Authorized Official Title or Position PRESIDENT
20 Authorized Official Telephone Number 9286696906
21 Healthcare Provider Taxonomy Code 1 251S00000X
22 Healthcare Provider Primary Taxonomy Switch 1 Y
23 Authorized Official Name Prefix Text MR.
24 Authorized Official Credential Text M.A., LPC

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This page was last updated on: 3/11/2014
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.