1750972402 NPI number — MS. MICHAELA ANN CONLEY MFT, NBC-HWC

Table of content: MS. MICHAELA ANN CONLEY MFT, NBC-HWC (NPI 1750972402)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750972402 NPI number — MS. MICHAELA ANN CONLEY MFT, NBC-HWC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CONLEY
Provider First Name:
MICHAELA
Provider Middle Name:
ANN
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MFT, NBC-HWC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1750972402
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/19/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1621 W SAN LUCAS DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TUCSON
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85704-1125
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
443-414-3532
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1621 W SAN LUCAS DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TUCSON
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85704-1125
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
443-414-3532
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/26/2021

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  10949 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 793591774 . This is a "NBC-HWC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 21840 . This is a "MCHES" identifier . This identifiers is of the category "OTHER".




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