Provider Demographics
NPI:1700480258
Name:VIA COUNSELING AND CONSULTING
Entity Type:Organization
Organization Name:VIA COUNSELING AND CONSULTING
Other - Org Name:VIA COUNSELING AND CONSULTING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DIRECTOR/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZARAGOZA
Authorized Official - Suffix:
Authorized Official - Credentials:MC, LPC
Authorized Official - Phone:602-370-2800
Mailing Address - Street 1:8021 N 15TH AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85021-5401
Mailing Address - Country:US
Mailing Address - Phone:602-370-2800
Mailing Address - Fax:602-297-6800
Practice Address - Street 1:3821 N 15TH AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85015-5545
Practice Address - Country:US
Practice Address - Phone:602-370-2800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-25
Last Update Date:2021-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty