INTERCESSORY COUNSELING & WELLNESS PLLC NPI 1447753876

NPI Information

NPI: 1447753876
Provider Name: INTERCESSORY COUNSELING & WELLNESS, PLLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
11225 N 28TH DR STE D111
PHOENIX, AZ
ZIP 85029
Phone: (602) 599-2000
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INTERCESSORY COUNSELING & WELLNESS, PLLC is a professional counselor in Phoenix, AZ. INTERCESSORY COUNSELING & WELLNESS, PLLC NPI is 1447753876. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11225 N 28TH DR STE D111
PHOENIX, AZ
ZIP 85029-630
Phone: (602) 599-2000
Fax: (602) 599-2009

The provider's authorized official is Michael Rayes .
The authorized official title is Owner and has the following contact phone number (602) 599-2000.

The enumeration date for this NPI number is 3/12/2018 and was last updated on 1/24/2019.

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)	LISAC-15078	ARIZONA	No
2	101YP2500X	Counselor	Professional	LPC-17155	ARIZONA	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	418298	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: 11/14/2023

NPI Synchronization or Removal

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