Elisa Barbosa

Individual provider Active NPI Marriage & Family Therapist · Arizona City, AZ

NPI 1699596155 · NPPES record last updated Oct 17, 2024

Key facts

NPI
1699596155
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
27498 (AZ)
Practice address
8659 W Pineveta Dr # 3093
Arizona City, AZ 85123-7074
Phone
(702) 748-6850
NPI assigned
Oct 17, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
27498AZMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 27498 AZ Yes

Addresses

Primary practice location

8659 W Pineveta Dr # 3093
Arizona City, AZ 85123-7074

Mailing address

8659 W Pineveta Dr # 3093
Arizona City, AZ 85123-7074
Phone (702) 748-6850

Other providers in Arizona City, AZ

All providers in Arizona City, AZ · Marriage & Family Therapist in Arizona

Sources for this page

Verify at the official NPI Registry.