MEDICARE: SPERO COUNSELING PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1528626629
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPERO COUNSELING PLLC

Provider Business Mailing Address
First Line	:	PO BOX 64789
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85728-4789
Country	:	US
Telephone Number	:	703-901-9361
Fax Number	:

Provider Business Practice Location Address
First Line	:	1700 E RIVER RD # 64789
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85718-5881
Country	:	US
Telephone Number	:	520-800-5700
Fax Number	:

Authorized Official
Title or Position	:	ONWER/ MENTAL HEALTH THERAPIST
Name	:	MICHELL SIMPSON
Credential	:	LMHC
Telephone Number	:	520-800-5700

Provider Enumeration Date	:	06/03/2019
Last Update Date	:	06/03/2019

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