A Living Room On Broadway, PLLC
Counselor, Addiction (Substance Use Disorder) in Tucson, AZ. Organization (NPI-2).
NPI number1326776873
StatusActive
Last updated in NPPESAug 11, 2022
Details
- NPI
- 1326776873
- Entity type
- Organization (NPI-2)
- Legal business name
- A Living Room On Broadway, PLLC
- Organization subpart
- Yes
- Enumeration date
- Aug 11, 2022
- Certification date
- Aug 11, 2022
- Last updated
- Aug 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
5051 N Sabino Canyon Rd Unit 1147Tucson, AZ 85750-6457
Phone 520-954-5454
Mailing address
5051 N Sabino Canyon Rd Unit 1147Tucson, AZ 85750-6457
Phone 520-954-5454
Authorized official
Cynthia Miller-Potter
Psychotherapist
5209545454
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