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WEST YAVAPAI GUIDANCE CLINIC INC. NPI 1053366716


NPI Information

NPI: 1053366716
Provider Name: WEST YAVAPAI GUIDANCE CLINIC, INC.

Doing Business As: HILLSIDE OUTPATIENT CLINIC

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
642 DAMERON DR
PRESCOTT, AZ
ZIP 86301
Phone: (928) 445-5211
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WEST YAVAPAI GUIDANCE CLINIC, INC. is a mental health (including community mental health center) clinic center in Prescott, AZ. WEST YAVAPAI GUIDANCE CLINIC, INC. NPI is 1053366716. The provider is registered as an organization entity type.
The provider Is Doing Business As Hillside Outpatient Clinic.

The provider's business location address is:

642 DAMERON DR
PRESCOTT, AZ
ZIP 86301-411
Phone: (928) 445-5211
Fax: (928) 776-8484

The provider's authorized official is Tamara Player .
The authorized official title is Ceo and has the following contact phone number (928) 445-5211.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 6/14/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterBH309ARIZONANo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)CSLG6205ARIZONAYes

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

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