Deer Valley Counseling, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-10782 Issued in AZ

Legal business name

DEER VALLEY COUNSELING, INC.

Practice address

2301 W Dunlap Ave
Suite 206
Phoenix, AZ 85021-2844

Phone

(602) 750-8705

NPI assigned

Sep 9, 2010

Organization subpart

No

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

Authorized official

Name

James Nettles, MS

Title

Business Director

Phone

(602) 750-8705

Specialties & licenses 3

Addresses

Other names 1

• Deer Valley Counseling Doing business as

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332028800000",
    "number": "1134436348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 W DUNLAP AVE",
            "address_2": "SUITE 206",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850212844",
            "telephone_number": "602-750-8705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 W DUNLAP AVE",
            "address_2": "SUITE 206",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850212844",
            "telephone_number": "602-750-8705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEER VALLEY COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-09",
        "last_updated": "2012-03-18",
        "status": "A",
        "authorized_official_last_name": "NETTLES",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "BUSINESS DIRECTOR",
        "authorized_official_telephone_number": "602-750-8705",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-11594",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-13346",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-10782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deer Valley Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Deer Valley Dental Group, LLP
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• Deer Valley Medical Group. LLC
• Deer Valley OB-GYN LLC
• Deer Valley Spine Center

• Clinical Social Worker in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2012; 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.