SEQUEL TSI OF AZ LLC NPI 1790015428

NPI Information

NPI: 1790015428
Provider Name: SEQUEL TSI OF AZ, LLC

Doing Business As: TRADITIONS TUBA CITY

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
75 S. MAIN ST., SUITE B
KENTUCKY FRIED CHICKEN COMPLES
TUBA CITY, AZ
ZIP 86045
Phone: (928) 283-6808
Get Directions

SEQUEL TSI OF AZ, LLC is an adult mental health clinic center in Tuba City, 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 adults. SEQUEL TSI OF AZ, LLC NPI is 1790015428. The provider is registered as an organization entity type.
The provider Is Doing Business As Traditions Tuba City.

The provider's business location address is:

75 S. MAIN ST., SUITE B
KENTUCKY FRIED CHICKEN COMPLES
TUBA CITY, AZ
ZIP 86045
Phone: (928) 283-6808
Fax: (928) 283-6848

The provider's authorized official is Chris Banken .
The authorized official title is Executive Director and has the following contact phone number (602) 335-2095.

The enumeration date for this NPI number is 12/31/2009 and was last updated on 12/31/2009.

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	261QM0850X	Clinic/Center	Adult Mental Health			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

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.

« Previous NPI

Next NPI »