AMANDA IRWIN (NPI# 1073134524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073134524 |
| Entity Type | Individual |
| Full Name | AMANDA IRWIN |
| Practice Address |
5940 E Copper Hill Dr Prescott Valley AZ 86314-2860 |
| Practice Telephone | 9285837799 |
| Mailing Telephone | 9285837799 |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2020-05-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366815920 | Amanda Irwin | Counselor | 320 Maxwell Rd, Suite 300, Alpharetta, GA 30009-2070 | 2015-11-04 |
| 1144450719 | Amanda Leigh Irwin | Nurse Practitioner | 6127 Clark Rd, Paradise, CA 95969-4177 | 2009-07-17 |
| Street Address |
5940 E COPPER HILL DR |
| City | PRESCOTT VALLEY |
| State | AZ |
| Zip Code | 86314-2860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295747368 | Mark Jerome Collins | Psychiatry & Neurology | 5940 E Copper Hill Dr, Suite B, Prescott Valley, AZ 86314-2860 | 2006-08-13 |
| 1720332240 | Valle Del Sol, Inc. | Community/Behavioral Health | 5940 E Copper Hill Dr, Suite B, Prescott Valley, AZ 86314-2860 | 2012-11-06 |
| 1437432259 | Valle Del Sol | Clinic/Center | 5940 E Copper Hill Dr, Suite E, Prescott Valley, AZ 86314-2860 | 2011-09-28 |
| 1821306325 | Valle Del Sol | Community/Behavioral Health | 5940 E Copper Hill Dr, Ste. E, Prescott Valley, AZ 86314-2860 | 2010-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992326029 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 3001 N. Mountain View Rd, Prescott Valley, AZ 86314 | 2020-04-29 |
| 1124666516 | Best Care Behavioral Homes LLC | Community/Behavioral Health | 5385 W Saddleback Drive, Prescott Valley, AZ 86314 | 2019-12-16 |
| 1912541558 | The Stateserv Companies, LLC | Durable Medical Equipment & Medical Supplies | 8926 E. Long Mesa Drive, Prescott Valley, AZ 86314 | 2019-11-06 |
| 1003398983 | Richard Telck | Pharmacist | 7720 E. Highway 69, Prescott Valley, AZ 86314 | 2018-09-06 |
| 1912493065 | Akdhc,llc | Internal Medicine | 7862 E Florentine Rd, Suite 120, Prescott Valley, AZ 86314 | 2018-07-02 |
| 1700377983 | Pronghorn Psychiatry | Clinic/Center | 5940 E. Copper Hill Dr, Suite E, Prescott Valley, AZ 86314 | 2018-05-23 |
| 1689185126 | Thumb Butte Urgent Care | Clinic/Center | 6496 East Highway 69, Prescott Valley, AZ 86314 | 2017-10-23 |
| 1740738046 | Janine Kauffmann | Pharmacist | 7720 East Highway 69, Prescott Valley, AZ 86314 | 2016-09-14 |
| 1528415650 | Nazcare, Inc. | Exclusive Provider Organization | 8200 E. Jacque Dr., Prescott Valley, AZ 86314 | 2016-05-18 |
| 1184087009 | William Beverly | Marriage & Family Therapist | 8603 E. Eastridge Dr., Ste A, Prescott Valley, AZ 86314 | 2016-03-29 |
| Find all providers in zip 86314 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568010080 | Stacie L Brown | Counselor | 2820 N Lynx Lake Dr, Prescott Valley, AZ 86314-2541 | 2019-08-28 |
| 1275870016 | Susan N. Beaty | Counselor | 3343 N. Windsong Dr., Prescott Valley, AZ 86314-2283 | 2013-01-14 |
| 1154668259 | Andrea J. Abad | Counselor | 3345 N. Windsong Dr., Prescott Valley, AZ 86314-2283 | 2013-01-09 |
| 1851532212 | Susan C Horst | Counselor | 3950 N Valorie Dr, Prescott Valley, AZ 86314-8234 | 2009-03-16 |
| 1033356738 | Professional Counseling Services, LLC | Counselor | 8183 E Florentine Rd, Suite B, Prescott Valley, AZ 86314-8454 | 2009-01-16 |
| 1801078027 | Larry G Provence | Counselor | 4715 N Stage Way Ln, Prescott Valley, AZ 86314-5325 | 2007-11-29 |
| 1891980538 | Dorinda Walden | Counselor | 6332 E Andover Ln, Prescott Valley, AZ 86314-9225 | 2007-09-06 |
| 1750456919 | Pamela J Griggs | Counselor | 3725 N Robert Rd, Prescott Valley, AZ 86314-8143 | 2006-11-22 |
| 1184714503 | Carol Anne Bettino | Counselor | 8430 E Spouse Dr, Prescott Valley, AZ 86314 | 2006-10-14 |
| 1629027230 | Julie R. Beck | Counselor | 2651 N Industrial Way Ste O, Prescott Valley, AZ 86314-3545 | 2006-05-09 |
| Find all providers in PRESCOTT VALLEY | ||||
| City | PRESCOTT VALLEY |
| Zip Code | 86314 |
Please comment or provide details below to improve the information on AMANDA IRWIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.