Organization · Type 2 NPI
Tri-Phase Group Home Inc
Counselor · Gilbert, AZ
NPI number
1396914735
Active
Practice location
1575 E Betsy Ln Unit D
Gilbert, AZ 85296-3759
Fax (623) 474-6516
Mailing address
18403 W Verdin Rd
Goodyear, AZ 85338-5081
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | BH-1914 (AZ) |
| Children's Substance Abuse Rehabilitation Facility | 3245S0500X | BH-1914 (AZ) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1396914735
Tri-Phase Group Home Inc's National Provider Identifier is 1396914735, issued on Feb 28, 2008. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Gilbert, AZ. The record was last updated on Jun 26, 2008.