DAISY CORAL MATEO ANTUNA NPI 1518333699

NPI Information

NPI: 1518333699
Provider Name: DAISY CORAL MATEO ANTUNA
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
4041 N CENTRAL AVE BLDG C
PHOENIX, AZ
ZIP 85012
Phone: (602) 279-5351
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Daisy Coral Mateo Antuna is a counselor in Phoenix, 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. Daisy Coral Mateo Antuna NPI is 1518333699. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4041 N CENTRAL AVE BLDG C
PHOENIX, AZ
ZIP 85012-313
Phone: (602) 279-5351

The enumeration date for this NPI number is 8/12/2015 and was last updated on 2/10/2021.

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	License Number	License State	Primary
1	101Y00000X	Counselor				No
2	101Y00000X	Counselor		D10847152	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	1303295	MEDICAID	MASSACHUSETTS
2	1307576	MEDICAID	MASSACHUSETTS
3	M18463	OTHER	MASSACHUSETTS	BLUE CROSS BLUE SHIELD

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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