Sun Ridge Psychotherapy Lc
Clinic/Center, Adult Mental Health in Tucson, AZ. Organization (NPI-2).
NPI number1164044897
StatusActive
Last updated in NPPESSep 15, 2020
Details
- NPI
- 1164044897
- Entity type
- Organization (NPI-2)
- Legal business name
- Sun Ridge Psychotherapy Lc
- Organization subpart
- No
- Enumeration date
- May 15, 2020
- Certification date
- Sep 15, 2020
- Last updated
- Sep 15, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Practice location
2948 E 8th StTucson, AZ 85716-5248
Phone 520-261-9556
Mailing address
11001 E Roger RdTucson, AZ 85749-8563
Phone 707-495-4236
Authorized official
Melissa Jane Jones
Clinical Director
5202619556
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