Healthcare Provider Details
I. General information
NPI: 1033505300
Provider Name (Legal Business Name): CATHEXIS TUCSON, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/13/2015
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6280 E PIMA ST STE 100
TUCSON AZ
85712-3074
US
IV. Provider business mailing address
6280 E PIMA ST STE 100
TUCSON AZ
85712-3074
US
V. Phone/Fax
- Phone: 520-303-8394
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TIMOTHY
ROBERT
MILLS
Title or Position: INCORPORATOR/DIRECTOR
Credential: LPC
Phone: 520-303-8394