Perspectives Counseling Professional Limited Liability Company
Organization Active NPI Counselor · Nogales, AZ
NPI 1245074855 · NPPES record last updated Jun 20, 2024
Key facts
- NPI
- 1245074855
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Counselor 101Y00000X
- Legal business name
- PERSPECTIVES COUNSELING PROFESSIONAL LIMITED LIABILITY COMPANY
- Practice address
- 2921 N Grand Ave Ste 2
Nogales, AZ 85621-3921 - Phone
- (520) 975-3136
- NPI assigned
- Jun 20, 2024
- Organization subpart
- Yes
- Parent organization (as reported)
- PERSPECTIVES COUNSELING PROFESSIONAL LIMITED LIABILITY COMPANY
Authorized official
- Name
- Evelyn Tovar, LCSW
- Title
- Owner-Member
- Phone
- (520) 975-3136
Practitioners 2
-
Evelyn Tovar, LMSW
-
Octavio Blanco Jr., M. ED.
National Provider Directory
- Part of
- Perspectives Counseling Professional Limited Liability Company
Locations
2921 N Grand Ave
Ste 2
Nogales, AZ 85621
Phone (520) 975-3136
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor |
101Y00000X | Yes | ||
| Health Service Clinic/Center | 261QH0100X |
Addresses
Primary practice location
2921 N Grand Ave Ste 2
Nogales, AZ 85621-3921
Mailing address
5656 E Grant Rd Ste 110
Tucson, AZ 85712-2200
Other practice location 1
5656 E Grant Rd Ste 110
Tucson, AZ 85712-2200
Phone (520) 975-3136
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508451451 | Medicaid | AZ | |
| 1558122101 | Medicaid | AZ | |
| 1356108088 | Medicaid | AZ | |
| 1245074855 | Medicaid | AZ |
Other providers in Nogales, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.