Desert Milagros, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

OTC6580 Issued in AZ

Legal business name

DESERT MILAGROS, LLC

Practice address

3438 N. Country Club Road
Tucson, AZ 85716-1257

Phone

(520) 531-1040

Fax

(520) 325-1040

NPI assigned

Jan 9, 2010

Organization subpart

No

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

Authorized official

Name

Faith Valentina Suaso, PH.D.

Title

Executive Director

Phone

(520) 531-1040

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1262995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433980800000",
    "number": "1487984720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3438 N. COUNTRY CLUB ROAD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857161257",
            "telephone_number": "520-531-1040",
            "fax_number": "520-325-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3438 N. COUNTRY CLUB ROAD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857161257",
            "telephone_number": "520-531-1040",
            "fax_number": "520-325-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT MILAGROS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-09",
        "last_updated": "2015-06-11",
        "status": "A",
        "authorized_official_last_name": "SUASO",
        "authorized_official_first_name": "FAITH",
        "authorized_official_middle_name": "VALENTINA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "520-531-1040",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "AZ",
            "license": "OTC6580",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "AZ",
            "license": "BH3142",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "AZ",
            "license": "BH3142",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Desert Oasis Personalized Care PLLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; 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.