Basic Information
| Provider Information | |||||||||
| NPI: | 1649268095 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | PERSPECTIVES COUNSELING SERVICES, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 380 E FORT LOWELL RD | ||||||||
| Address2: | #122 | ||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 857053985 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5206284500 | ||||||||
| FaxNumber: | 5205311095 | ||||||||
| Practice Location | |||||||||
| Address1: | 380 E FORT LOWELL RD | ||||||||
| Address2: | #122 | ||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 857053985 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5206284500 | ||||||||
| FaxNumber: | 5205311095 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/10/2005 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | ST. GERMAINE | ||||||||
| AuthorizedOfficialFirstName: | JACQUELYN | ||||||||
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| AuthorizedOfficialTitleorPosition: | EXECUTIVE DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 5206284500 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | PH.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YA0400X | BH2413 | AZ | Y | 193400000X SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) |
No ID Information.