Organization Active NPI

Azure Personal Growth and Counseling, LLC

  • Community/Behavioral Health Agency
  • Bala Cynwyd, PA
National Provider Identifier
1497307912
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
AZURE PERSONAL GROWTH AND COUNSELING, LLC
Practice address
133 Heather Rd
Suite 205
Bala Cynwyd, PA 19004-3009
Phone
(215) 544-5237
NPI assigned
Jul 15, 2019
Last updated
Jun 26, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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

Authorized official

Name
Sharon L. Kimber, MSS, MLSP, LCSW
Title
Chief Executive Manager
Phone
(215) 544-5237

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

133 Heather Rd
Suite 205
Bala Cynwyd, PA 19004-3009

Mailing address

133 Heather Rd
Suite 205
Bala Cynwyd, PA 19004-3009
Phone (215) 544-5237

National Provider Directory

National Provider Directory

Locations

133 Heather Rd
Ste 205
Bala Cynwyd, PA 19004
Phone (215) 544-5237

525 S 4th St
Ste 365
Philadelphia, PA 19147
Phone (267) 428-7032

NPI Registry JSON

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593129600000",
    "number": "1497307912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 HEATHER RD",
            "address_2": "SUITE 205",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043009",
            "telephone_number": "215-544-5237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 HEATHER RD",
            "address_2": "SUITE 205",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043009",
            "telephone_number": "215-544-5237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZURE PERSONAL GROWTH AND COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-15",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A",
        "authorized_official_last_name": "KIMBER",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE MANAGER",
        "authorized_official_telephone_number": "215-544-5237",
        "authorized_official_credential": "MSS, MLSP, LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; 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.