Healthcare Provider Details
I. General information
NPI: 1548131527
Provider Name (Legal Business Name): CONTINUUM CARE PROVIDERS OF ARIZONA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/15/2025
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1201 S 7TH AVE STE 200
PHOENIX AZ
85007-4076
US
IV. Provider business mailing address
3905 HEDGCOXE RD UNIT 250249
PLANO TX
75025-0840
US
V. Phone/Fax
- Phone: 623-236-2000
- Fax:
- Phone: 337-347-7371
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LAURA
F.
TARANTINO
Title or Position: EVP
Credential:
Phone: 985-377-2219