Provider Demographics
NPI:1376152470
Name:CASSIE URIBE COUNSELING & CONSULTING, PLLC
Entity Type:Organization
Organization Name:CASSIE URIBE COUNSELING & CONSULTING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:URIBE
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:253-345-4036
Mailing Address - Street 1:19 W CALLE PRISCAL
Mailing Address - Street 2:
Mailing Address - City:SAHUARITA
Mailing Address - State:AZ
Mailing Address - Zip Code:85629-6606
Mailing Address - Country:US
Mailing Address - Phone:520-870-4528
Mailing Address - Fax:
Practice Address - Street 1:64 E BROADWAY BLVD STE 202-10
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85701-1720
Practice Address - Country:US
Practice Address - Phone:253-345-4036
Practice Address - Fax:253-201-4819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-24
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health