Provider Demographics
NPI:1568761583
Name:NAGLE, BHUMI (LPC)
Entity Type:Individual
Prefix:
First Name:BHUMI
Middle Name:
Last Name:NAGLE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:BHUMI
Other - Middle Name:
Other - Last Name:BHAVSAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:70 N MCCLINTOCK DR STE 4
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85226-3711
Mailing Address - Country:US
Mailing Address - Phone:480-464-4431
Mailing Address - Fax:480-464-2338
Practice Address - Street 1:70 N MCCLINTOCK DR STE 4
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85226-3711
Practice Address - Country:US
Practice Address - Phone:480-464-4431
Practice Address - Fax:480-464-2338
Is Sole Proprietor?:No
Enumeration Date:2011-03-16
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39001973A101YM0800X
MI6401015079101YP2500X
AZLPC-17776101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health