<Unavail>

LBN: West Yavapai Guidance Clinic, Inc.
<Unavail> is an health care organization with primary practice located at 3345 N Windsong Dr Attn: Tina Tolliver, Suite B, Prescott Valley AZ 86314-2283. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. West Yavapai Guidance Clinic, Inc. can be contacted via phone (928) 583-6411, or through Player, Tamara K. via phone (928) 445-5211.

Contact Information

Primary practice address
3345 N Windsong Dr Attn: Tina Tolliver, Suite B Prescott Valley AZ 86314-2283
Phone: (928) 583-6411
Fax: (928) 776-8031
Website:
Map and Directions
Authorized official contact:
Name: Player, Tamara K.
Phone: (928) 445-5211

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X OTC 5318 Arizona

Profile Details

NPI number 1316212178
LBN Legal business name West Yavapai Guidance Clinic, Inc.
DBA Doing business as <Unavail>
Authorized official Player, Tamara K.
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 13th, 2012
Last updated Jun 14th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316212178 NPPES
Arizona Other OTC 5318 ADHS MEDICAL LICENSE

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