Provider Demographics
NPI:1639396591
Name:LA PAZ COUNSELING SERVICES, PLLC
Entity Type:Organization
Organization Name:LA PAZ COUNSELING SERVICES, PLLC
Other - Org Name:LA PAZ COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:SZYMANSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:928-669-6906
Mailing Address - Street 1:1017 S LAGUNA AVE
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:AZ
Mailing Address - Zip Code:85344-4945
Mailing Address - Country:US
Mailing Address - Phone:928-669-6906
Mailing Address - Fax:928-669-6909
Practice Address - Street 1:1017 S LAGUNA AVE
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:AZ
Practice Address - Zip Code:85344-4945
Practice Address - Country:US
Practice Address - Phone:928-669-6906
Practice Address - Fax:928-669-6909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health