Tina McCoy
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Desert Hot Springs, CA
NPI 1285274191 · NPPES record last updated Jan 8, 2020
Key facts
- NPI
- 1285274191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 12890 Quinta Way
Desert Hot Springs, CA 92240-4852 - Phone
- (760) 329-2959
- NPI assigned
- Jan 8, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Ranch Recovery Centers Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
12890 Quinta Way
Desert Hot Springs, CA 92240-4852
Mailing address
12890 Quinta Way
Desert Hot Springs, CA 92240-4852
Other providers in Desert Hot Springs, CA
- Timothy T Mathis
- Barry Mayron
- Denise Lynn McClintock-Hughes
- Joel Todd McCoy
- Marisa Christina McCoy
- Michael Scott McCullough
- Gregory L McFarland
- Jeffrey McFarlin
- Meghan Marie McIntyre
- Sharon McKee
All providers in Desert Hot Springs, CA · Addiction (Substance Use Disorder) Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2020. 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.