Tucson Lasting Connections, Llc | |
2120 W Ina Rd Suite 103-e Tucson AZ 85741-2694 | |
(520) 820-8871 | |
(520) 441-5210 |
Full Name | Tucson Lasting Connections, Llc |
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Speciality | Community/behavioral Health |
Location | 2120 W Ina Rd, Tucson, Arizona |
Authorized Official Name and Position | Stephanie Neidermyer Stephenson (OWNER) |
Authorized Official Contact | 5208208871 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tucson Lasting Connections, Llc Po Box 68485 Oro Valley AZ 85737-8485 Ph: (520) 820-8871 | Tucson Lasting Connections, Llc 2120 W Ina Rd Suite 103-e Tucson AZ 85741-2694 Ph: (520) 820-8871 |
NPI Number | 1598121865 |
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Provider Enumeration Date | 01/02/2016 |
Last Update Date | 01/02/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598121865 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 10427 (Arizona) | Primary |
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