| A Living Room On Broadway, Pllc | |
|
5051 N Sabino Canyon Rd Unit 1147 Tucson AZ 85750-6457 | |
| (520) 954-5454 | |
| Not Available |
| Full Name | A Living Room On Broadway, Pllc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 5051 N Sabino Canyon Rd Unit 1147, Tucson, Arizona |
| Authorized Official Name and Position | Cynthia Miller-potter (PSYCHOTHERAPIST) |
| Authorized Official Contact | 5209545454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Living Room On Broadway, Pllc 5051 N Sabino Canyon Rd Unit 1147 Tucson AZ 85750-6457 Ph: (520) 954-5454 | A Living Room On Broadway, Pllc 5051 N Sabino Canyon Rd Unit 1147 Tucson AZ 85750-6457 Ph: (520) 954-5454 |
| NPI Number | 1326776873 |
|---|---|
| Provider Enumeration Date | 08/11/2022 |
| Last Update Date | 08/11/2022 |
| Certification Date | 08/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326776873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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