Provider Demographics
NPI:1104019355
Name:DEBRA LOW, M.C., L.P.C., PLLC
Entity Type:Organization
Organization Name:DEBRA LOW, M.C., L.P.C., PLLC
Other - Org Name:ALLIANCE COUNSELING OF ARIZONA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:HELENE
Authorized Official - Last Name:LOW
Authorized Official - Suffix:
Authorized Official - Credentials:MC
Authorized Official - Phone:480-775-5175
Mailing Address - Street 1:2266 S DOBSON RD
Mailing Address - Street 2:STE. 200
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85202-6488
Mailing Address - Country:US
Mailing Address - Phone:480-775-5175
Mailing Address - Fax:480-775-5176
Practice Address - Street 1:2266 S DOBSON RD
Practice Address - Street 2:STE. 200
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85202-6488
Practice Address - Country:US
Practice Address - Phone:480-775-5175
Practice Address - Fax:480-775-5176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-21
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC12759251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health