Healthcare Provider Details

I. General information

NPI: 1003315292
Provider Name (Legal Business Name): PERCEPTION COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2018
Last Update Date: 06/07/2024
Certification Date: 06/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1213 E WAREHOUSE AVENUE
TUCSON AZ
85719
US

IV. Provider business mailing address

4801 W PIMA FARMS RD
TUCSON AZ
85741-4606
US

V. Phone/Fax

Practice location:
  • Phone: 520-623-7077
  • Fax:
Mailing address:
  • Phone: 520-300-0176
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberLPC15863
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DEBRA K LOWTHER
Title or Position: CEO OWNER
Credential: PSYCHOLOGY
Phone: 520-300-0176