MINGUS MOUNTAIN ESTATE RESIDENTIAL CENTER INC. NPI 1942347034

NPI Information

NPI: 1942347034
Provider Name: MINGUS MOUNTAIN ESTATE RESIDENTIAL CENTER INC.

Other Name: MINGUS MOUNTAIN ACADEMY

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
8349 EAST SPOUSE DRIVE
SUITE B
PRESCOTT VALLEY, AZ
ZIP 86314
Phone: (602) 335-3000
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MINGUS MOUNTAIN ESTATE RESIDENTIAL CENTER INC. is a mental health counselor in Prescott Valley, AZ. MINGUS MOUNTAIN ESTATE RESIDENTIAL CENTER INC. NPI is 1942347034. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Mingus Mountain Academy.

The provider's business location address is:

8349 EAST SPOUSE DRIVE
SUITE B
PRESCOTT VALLEY, AZ
ZIP 86314
Phone: (602) 335-3000

The provider's authorized official is Chris Banken .
The authorized official title is Executive Director and has the following contact phone number (602) 335-2000.

The enumeration date for this NPI number is 1/30/2007 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	101YM0800X	Counselor	Mental Health	BH-2839	ARIZONA	Yes
2	251S00000X	Community/Behavioral Health		BH 2839	ARIZONA	X

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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