Paul Bangura
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Glendale, AZ
NPI 1316664287 · NPPES record last updated Oct 21, 2022
Key facts
- NPI
- 1316664287
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 5422 W Thunderbird Rd Ste 21-22
Glendale, AZ 85306-4700 - Phone
- (623) 216-5759
- NPI assigned
- Oct 21, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| Family Behavioral Health Counseling Services PLLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | AZ | Yes |
Addresses
Primary practice location
5422 W Thunderbird Rd Ste 21-22
Glendale, AZ 85306-4700
Mailing address
5422 W Thunderbird Rd Ste 21-22
Glendale, AZ 85306-4700
Phone (623) 216-5759
Other providers in Glendale, AZ
- Jennifer Marie Ballesteros
- Timothy S Ballitch
- Marissa Balsino
- David G Balzer
- Justice Banda
- Kenneth Michael Bania
- Heidi L Banister
- Carol A. Banks
- Symone Whitney Banks
- Vicki Banks
All providers in Glendale, AZ · Addiction (Substance Use Disorder) Counselor in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2022. 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.