NORTHWEST CHRISTIAN COUNSELING LLC NPI 1639396443

NPI Information

NPI: 1639396443
Provider Name: NORTHWEST CHRISTIAN COUNSELING, LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

CLIA Number: 03D1067764

Address:
17505 N 79TH AVE
SUITE 111-A
GLENDALE, AZ
ZIP 85308
Phone: (623) 680-8172
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NORTHWEST CHRISTIAN COUNSELING, LLC is a professional counselor in Glendale, AZ. NORTHWEST CHRISTIAN COUNSELING, LLC NPI is 1639396443. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

17505 N 79TH AVE
SUITE 111-A
GLENDALE, AZ
ZIP 85308-723
Phone: (623) 680-8172

The provider's authorized official is Chris S. Andersen .
The authorized official title is Member and has the following contact phone number (623) 680-8172.

The CLIA number assigned to this NPI record is 03D1067764 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/20/2007 and was last updated on 8/22/2020.

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	101YP2500X	Counselor	Professional	LPC11281	ARIZONA	Yes

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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