Organization Active NPI

White Tiger Integrated Services, LLC

  • Mental Health Counselor
  • Phoenix, AZ
National Provider Identifier
1003451469
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WHITE TIGER INTEGRATED SERVICES, LLC
Practice address
67 E Weldon Ave Ste 220
Phoenix, AZ 85012-2044
Phone
(603) 637-7361
NPI assigned
Nov 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Dace James Tapley, DBH, LPC, NCC
Title
Owner
Phone
(602) 637-7361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

67 E Weldon Ave Ste 220
Phoenix, AZ 85012-2044

Mailing address

67 E Weldon Ave Ste 220
Phoenix, AZ 85012-2044
Phone (603) 637-7361

Other names 1

  • White Tiger Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

67 E Weldon Ave
Ste 220
Phoenix, AZ 85012
Phone (603) 637-7361

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573171200000",
    "number": "1003451469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 E WELDON AVE STE 220",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122044",
            "telephone_number": "603-637-7361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 E WELDON AVE STE 220",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122044",
            "telephone_number": "603-637-7361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE TIGER INTEGRATED SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-08",
        "last_updated": "2019-11-08",
        "status": "A",
        "authorized_official_last_name": "TAPLEY",
        "authorized_official_first_name": "DACE",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-637-7361",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DBH, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Tiger Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.