MEDICARE: AZ NURTURED HEART COUNSELING CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1164386785
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AZ NURTURED HEART COUNSELING CENTER

Provider Business Mailing Address
First Line	:	3131 N COUNTRY CLUB RD STE 201
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85716-1651
Country	:	US
Telephone Number	:	520-404-3317
Fax Number	:

Provider Business Practice Location Address
First Line	:	3131 N COUNTRY CLUB RD STE 201
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85716-1651
Country	:	US
Telephone Number	:	520-404-3317
Fax Number	:

Authorized Official
Title or Position	:	OWNER/THERAPIST
Name	:	HEIDI LONG
Credential	:	LMFT
Telephone Number	:	520-404-3317

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

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