Provider Demographics
NPI:1801498399
Name:NAOKI THERAPY LLC
Entity type:Organization
Organization Name:NAOKI THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENCED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:NAOMI
Authorized Official - Middle Name:
Authorized Official - Last Name:TORREZ
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:480-798-4123
Mailing Address - Street 1:2005 W 14TH ST STE 134
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85281-6944
Mailing Address - Country:US
Mailing Address - Phone:480-798-4123
Mailing Address - Fax:
Practice Address - Street 1:2005 W 14TH ST STE 134
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85281-6944
Practice Address - Country:US
Practice Address - Phone:480-798-4123
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-10
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ083953Medicaid
AZLPC-19196OtherLPC