Healthcare Provider Details

I. General information

NPI: 1003725557
Provider Name (Legal Business Name): WITH INTENTION COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6630 E CARONDELET DR
TUCSON AZ
85710-2119
US

IV. Provider business mailing address

3444 N EAGLE RD
TUCSON AZ
85750-2500
US

V. Phone/Fax

Practice location:
  • Phone: 520-222-9344
  • Fax:
Mailing address:
  • Phone: 520-461-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ERIN ROEPCKE
Title or Position: OWNER
Credential: LCSW
Phone: 520-461-5000