MEDICARE: EMILIA MUNOZ

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1265300636
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILIA MUNOZ

Provider Business Mailing Address
First Line	:	1213 E B ST
Second Line	:
City	:	SAN LUIS
State	:	AZ
Zip	:	85336-3668
Country	:	US
Telephone Number	:	928-919-1155
Fax Number	:

Provider Business Practice Location Address
First Line	:	281 W 24TH ST STE 135
Second Line	:
City	:	YUMA
State	:	AZ
Zip	:	85364-8587
Country	:	US
Telephone Number	:	928-750-5190
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2025
Last Update Date	:	10/30/2025

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Directions to “ EMILIA MUNOZ ” Practice Location

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