DAKOTA VALLEY HEALING LLC NPI 1760158554

NPI Information

NPI: 1760158554
Provider Name: DAKOTA VALLEY HEALING, LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
2680 S VAL VISTA DR STE 143
GILBERT, AZ
ZIP 85295
Phone: (602) 565-4014
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DAKOTA VALLEY HEALING, LLC is a professional counselor in Gilbert, AZ. DAKOTA VALLEY HEALING, LLC NPI is 1760158554. The provider is registered as an organization entity type.

The provider's business location address is:

2680 S VAL VISTA DR STE 143
GILBERT, AZ
ZIP 85295-621
Phone: (602) 565-4014

The provider's authorized official is Ulonda Old Coyote .
The authorized official title is Member and has the following contact phone number (602) 565-4014.

The enumeration date for this NPI number is 8/20/2021 and was last updated on 8/20/2021.

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	Primary
1	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
2	251S00000X	Community/Behavioral Health		No
3	261QM0850X	Clinic/Center	Adult Mental Health	No
4	101YP2500X	Counselor	Professional	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1801252200	MEDICAID	ARIZONA

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: 4/28/2024

NPI Synchronization or Removal

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