Healthcare Provider Details

I. General information

NPI: 1104797885
Provider Name (Legal Business Name): TUCSON HEALTH & RESOURCE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2025
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1370 N SILVERBELL RD STE 170-232
TUCSON AZ
85745-2288
US

IV. Provider business mailing address

PO BOX 50723
MESA AZ
85208-0037
US

V. Phone/Fax

Practice location:
  • Phone: 602-690-6901
  • Fax:
Mailing address:
  • Phone: 602-690-6901
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: TAHLIL SCOTT
Title or Position: OWNER
Credential:
Phone: 602-690-6901