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COPE COMMUNITY SERVICES INC. NPI 1689196420


NPI Information

NPI: 1689196420
Provider Name: COPE COMMUNITY SERVICES, INC.

Former Legal Business Name: COPE BEHAVIORAL SERVICES, INC.

Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

CLIA Number: 03D1020843

Address:
924 N ALVERNON WAY STE 110
TUCSON, AZ
ZIP 85711
Phone: (520) 792-3293
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COPE COMMUNITY SERVICES, INC. is an adolescent and children mental health clinic center in Tucson, AZ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. COPE COMMUNITY SERVICES, INC. NPI is 1689196420. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Cope Behavioral Services, Inc..

The provider's business location address is:

924 N ALVERNON WAY STE 110
TUCSON, AZ
ZIP 85711-066
Phone: (520) 792-3293
Fax: (520) 792-4336

The provider's authorized official is Rodney Cook .
The authorized official title is Chief Executive Officer and has the following contact phone number (520) 792-3293.

The CLIA number assigned to this NPI record is 03D1020843 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/13/2017 and was last updated on 8/27/2021.


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
1251B00000XCase ManagementOTC8421ARIZONANo
2251S00000XCommunity/Behavioral HealthNo
3261QM0855XClinic/CenterAdolescent and Children Mental HealthOTC8421ARIZONAYes

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
1298346MEDICAIDARIZONA

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

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