Healthcare Provider Details

I. General information

NPI: 1942699038
Provider Name (Legal Business Name): YOLANDA ARZATE MUNOZ LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/13/2015
Last Update Date: 01/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8410 W THOMAS RD STE 116
PHOENIX AZ
85037-3356
US

IV. Provider business mailing address

8410 W THOMAS RD STE 116
PHOENIX AZ
85037-3356
US

V. Phone/Fax

Practice location:
  • Phone: 602-258-6797
  • Fax: 623-846-2191
Mailing address:
  • Phone: 602-258-6797
  • Fax: 623-846-2191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW-13885
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: