Roundsville Drug and Alcohol Treatment of Arizona

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

ROUNDSVILLE DRUG AND ALCOHOL TREATMENT OF ARIZONA

Practice address

610 N Bagby Dr
Prescott, AZ 86301-2588

Phone

(928) 848-2941

NPI assigned

Sep 11, 2020

Organization subpart

No

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

Authorized official

Name

Michael Harrison Colclasure

Title

Owner

Phone

(928) 420-3214

Specialties & licenses 1

Addresses

Other names 1

• A Sober Way To Recovery Doing business as

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599782400000",
    "number": "1891300299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 ROCKY DELLS CIR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863035681",
            "telephone_number": "928-420-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N BAGBY DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863012588",
            "telephone_number": "928-848-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROUNDSVILLE DRUG AND ALCOHOL TREATMENT OF ARIZONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-11",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A",
        "authorized_official_last_name": "COLCLASURE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "HARRISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-420-3214"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Sober Way To Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beth Rossi, LCSW
• Franklin J Roth, M.D.
• Douglas Wayne Rothrock, M.D.
• Round Table Recovery, LLC
• Alexis Danae Rounds, MD
• Andrew J Rounseville, MD
• Jack William Routson, MD
• Royal Az LLC
• Royal Az LLC
• Royal Az LLC

• Addiction (Substance Use Disorder) Counselor in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Addiction (Substance Use Disorder) Counselor in Arizona

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