| Latibule Counseling, Pllc | |
|
281 W 24th St Ste 139 Yuma AZ 85364-8500 | |
| (928) 247-6430 | |
| (928) 436-8669 |
| Full Name | Latibule Counseling, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 281 W 24th St Ste 139, Yuma, Arizona |
| Authorized Official Name and Position | Mily Gomez (CLINICIAN) |
| Authorized Official Contact | 9282476430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Latibule Counseling, Pllc 3621 W 22nd Pl Unit B Yuma AZ 85364-7621 Ph: (928) 247-6430 | Latibule Counseling, Pllc 281 W 24th St Ste 139 Yuma AZ 85364-8500 Ph: (928) 247-6430 |
| NPI Number | 1699262717 |
|---|---|
| Provider Enumeration Date | 04/14/2018 |
| Last Update Date | 04/14/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699262717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 16637 (Arizona) | Primary |
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