Healthcare Provider Details

I. General information

NPI: 1396528261
Provider Name (Legal Business Name): TALIA THURBER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2023
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2224 N CRAYCROFT RD STE 100
TUCSON AZ
85712-2811
US

IV. Provider business mailing address

6635 W HAPPY VALLEY RD STE A104-621
GLENDALE AZ
85310-2609
US

V. Phone/Fax

Practice location:
  • Phone: 520-896-1400
  • Fax: 520-614-6050
Mailing address:
  • Phone: 602-358-7073
  • Fax: 888-927-0409

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW-23427
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: