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NPI Code Detail

MEDICARE: THE DEVEREUX FOUNDATION

MEDICARE: THE DEVEREUX FOUNDATION
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
1101Y00000XCounselor
2101YA0400XAddiction (Substance Use Disorder) Counselor
3101YM0800XMental Health Counselor
4101YP2500XProfessional Counselor
5104100000XSocial Worker
61041C0700XClinical Social Worker
7106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1558303867
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE DEVEREUX FOUNDATION
Provider Business Mailing Address
First Line : 11000 N SCOTTSDALE RD
Second Line : SUITE 260
City : SCOTTSDALE
State : AZ
Zip : 85254-6130
Country : US
Telephone Number : 480-998-2920
Fax Number : 480-443-5587
Provider Business Practice Location Address
First Line : 2320 W PEORIA AVE
Second Line : SUITE B-145
City : PHOENIX
State : AZ
Zip : 85029-4753
Country : US
Telephone Number : 602-944-6222
Fax Number : 602-944-3534
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MS. LANE MARTIN-BARKER
Credential : LMFT
Telephone Number : 480-998-2920
Provider Enumeration Date : 06/12/2006
Last Update Date : 09/11/2025

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Directions to “THE DEVEREUX FOUNDATION ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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