Provider Demographics
NPI:1669073870
Name:COCONINO COUNTY HHS
Entity type:Organization
Organization Name:COCONINO COUNTY HHS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPUTY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:AXLUND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-679-7282
Mailing Address - Street 1:2625 N. KING ST.
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86004
Mailing Address - Country:US
Mailing Address - Phone:928-679-7282
Mailing Address - Fax:928-679-7461
Practice Address - Street 1:2625 N. KING ST.
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86004
Practice Address - Country:US
Practice Address - Phone:928-679-7282
Practice Address - Fax:928-679-7461
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COCONINO COUNTY HEALTH AND HUMAN S
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-11-04
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty