OLD PUEBLO COUNSELING INCORPORATED NPI 1982908638

NPI Information

NPI: 1982908638
Provider Name: OLD PUEBLO COUNSELING, INCORPORATED
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
380 E FORT LOWELL RD STE 120
TUCSON, AZ
ZIP 85705
Phone: (520) 624-6797
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OLD PUEBLO COUNSELING, INCORPORATED is a mental health counselor in Tucson, AZ. OLD PUEBLO COUNSELING, INCORPORATED NPI is 1982908638. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

380 E FORT LOWELL RD STE 120
TUCSON, AZ
ZIP 85705-981
Phone: (520) 624-6797
Fax: (520) 624-6977

The provider's authorized official is Lynn Gransie Barwick .
The authorized official title is Administrator/owner and has the following contact phone number (520) 624-6797.

The enumeration date for this NPI number is 1/10/2011 and was last updated on 1/10/2011.

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-3343	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: 11/14/2023

NPI Synchronization or Removal

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