SUPREME COUNSEL PLLC NPI 1902577745

NPI Information

NPI: 1902577745
Provider Name: SUPREME COUNSEL PLLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
20 E THOMAS RD STE 2200
PHOENIX, AZ
ZIP 85012
Phone: (602) 693-2826
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SUPREME COUNSEL PLLC is a mental health counselor in Phoenix, AZ. SUPREME COUNSEL PLLC NPI is 1902577745. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

20 E THOMAS RD STE 2200
PHOENIX, AZ
ZIP 85012-133
Phone: (602) 693-2826

The provider's authorized official is Duse-timothy Lamont Coates .
The authorized official title is Owner- Clinical Director and has the following contact phone number (602) 693-2826.

The enumeration date for this NPI number is 9/22/2021 and was last updated on 9/22/2021.

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	101YM0800X	Counselor	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: 11/14/2023

NPI Synchronization or Removal

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