Amaya, Thomas John
Amaya, Thomas John is an sole proprietor health care provider with primary practice located at 9405 S Avenida Del Yaqui , Guadalupe AZ 85283-2529. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Amaya, Thomas John can be contacted via phone (480) 768-2000.Contact Information
Primary practice address
9405 S Avenida Del Yaqui
Guadalupe AZ 85283-2529
Phone: (480) 768-2000
Fax: (480) 768-2053
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 778 | Montana |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1101 | Montana |
Profile Details
| NPI number | 1386703106 |
|---|---|
| LBN Legal business name | Amaya, Thomas John |
| Credentials | LCPC, LAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 7th, 2006 |
| Last updated | Feb 11th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386703106 | NPPES |
| Montana | MEDICAID | 0256989 | |
| Montana | Other | 1101 | |
| Montana | Other | 778 |
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