Provider Demographics
NPI:1104058312
Name:ARIZONA FAMILY COUNSELING, LLC.
Entity type:Organization
Organization Name:ARIZONA FAMILY COUNSELING, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:G
Authorized Official - Last Name:EPSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:520-495-0728
Mailing Address - Street 1:1790 E RIVER RD
Mailing Address - Street 2:STE 235
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-5876
Mailing Address - Country:US
Mailing Address - Phone:520-495-0728
Mailing Address - Fax:520-495-0855
Practice Address - Street 1:1790 E RIVER RD
Practice Address - Street 2:STE 235
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-5876
Practice Address - Country:US
Practice Address - Phone:520-495-0728
Practice Address - Fax:520-495-0855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-20
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-10646101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty