Yolanda Beltran
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Casa Grand, AZ
NPI 1972048981 · NPPES record last updated Dec 29, 2016
Key facts
- NPI
- 1972048981
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- LISAC-15053 (AZ)
- Practice address
- 105 Auburn Sky CT
Casa Grand, AZ 85122 - Phone
- (520) 709-2138
- NPI assigned
- Dec 29, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LISAC-15053 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Health and Wellness, Inc. | Past | Accepting new patients | |
| Horizon Health and Wellness, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LISAC-15053 | AZ | Yes |
Addresses
Primary practice location
105 Auburn Sky CT
Casa Grand, AZ 85122
Mailing address
105 Auburn Sky CT
Casa Grand, AZ 85122
Phone (520) 709-2138
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2016. 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.