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RECONNECT COUNSELING OF ARIZONA LLC NPI 1184107096


NPI Information

NPI: 1184107096
Provider Name: RECONNECT COUNSELING OF ARIZONA, LLC
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
1447 W ELLIOT RD STE 103
GILBERT, AZ
ZIP 85233
Phone: (602) 741-8537
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RECONNECT COUNSELING OF ARIZONA, LLC is a counselor in Gilbert, 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. RECONNECT COUNSELING OF ARIZONA, LLC NPI is 1184107096. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1447 W ELLIOT RD STE 103
GILBERT, AZ
ZIP 85233-166
Phone: (602) 741-8537
Fax: (480) 892-4640

The provider's authorized official is Rebecca Van Wagenen Bermudez .
The authorized official title is Licensed Clinical Social Worker and has the following contact phone number (602) 741-8537.

The enumeration date for this NPI number is 9/7/2018 and was last updated on 9/7/2018.


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
1101Y00000XCounselor12320ARIZONAYes

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
114310600OTHERARIZONACAQH

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

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.