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Contact Information

NICOLE M CHAMBERS
22958 W. GARDENIA DRIVE
BUCKEYE, AZ85326
 Phone: 480-438-5338
 Fax: 520-296-8244
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Respite Care

385H00000X
 

Counselor

101Y00000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for

NPI Number 1033425368
Entity Organization
Organization subpart 1 Not specified
Enumeration date 08/24/2010
Last updated 01/13/2017 - About 9 years ago
Identifiers
AZ Other 8H4949 AZ DHS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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