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1851784912 NPI number — ARIZONA BEHAVIORAL COUNSELING AND EDUCATION INC

NPI Number: 1851784912
Health Care Provider/Practitioner: ARIZONA BEHAVIORAL COUNSELING AND EDUCATION INC

Information about “1851784912” NPI (ARIZONA BEHAVIORAL COUNSELING AND EDUCATION INC) exists in 1851784912 in HTML format HTML  |  1851784912 in plain Text format TXT  |  1851784912 in PDF (Portable Document Format) PDF  |  1851784912 in an XML format XML  formats.

NPI Number : 1851784912 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1851784912",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ARIZONA BEHAVIORAL COUNSELING AND EDUCATION INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 36158",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PHOENIX",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85067-6158",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "602-788-1116",
    "MailingAddressFaxNumber": "602-788-1119",
    "FirstLinePracticeLocationAddress": "2525 S RURAL RD",
    "SecondLinePracticeLocationAddress": "SUITE 7-SOUTH",
    "PracticeLocationAddressCityName": "TEMPE",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85282-2435",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "602-788-1116",
    "PracticeLocationAddressFaxNumber": "602-788-1119",
    "EnumerationDate": "03/13/2015",
    "LastUpdateDate": "09/18/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "PEEBLES",
    "AuthorizedOfficialFirstName": "HALEY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT/CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "602-788-1116",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251S00000X",
        "TaxonomyName": "Community/Behavioral Health Agency",
        "LicenseNumber": "OTC6700",
        "LicenseNumberStateCode": "AZ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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