MR. CHARLES TYLER UPTON


Address: 721 N. Fourth Ave, Tucson, AZ 85705
Phone: 5202021870

MR. CHARLES TYLER UPTON (NPI# 1104136571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104136571
Entity Type Individual
Full Name MR. CHARLES TYLER UPTON
Credential LISAC, PLC
Practice Address 721 N. Fourth Ave
Tucson
AZ 85705
Mailing Address 1650 E. Fort Lowell Rd
Ste 202
Tucson
AZ 85719-2378
Practice Telephone 5202021870
Practice Fax Number 5202021889
Mailing Telephone 5203274505
Mailing Fax Number 5202021889
Enumeration Date 2010-10-19
Last Update Date 2010-10-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
LISAC10856 AZ Behavioral Health & Social Service Providers
N 101YP2500X Counselor
Specialization: Professional
LPC11260 AZ Behavioral Health & Social Service Providers

Other Providers CHARLES UPTON

NPI Name Taxonomy Address Enumeration
1386992915 Charles E Upton Pharmacist 14880 Ne 24th St, Redmond, WA 98052-5533 2012-08-29
1992870711 Charles C Upton Anesthesiology 1151 N State St, Suite 311, Jackson, MS 39202 2006-11-21

Office Location

Street Address 721 N. FOURTH AVE
City TUCSON
State AZ
Zip Code 85705

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386954758 Joyce Linda Morgan Counselor 721 N. Fourth Ave, Tucson, AZ 85705 2010-10-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184257347 John Matthew Gill, Od and Associates Optometrist 4500 N. Oracle Road, Suite 423, Tucson, AZ 85705 2020-02-17
1831730795 El Rio Santa Cruz Neighborhood Health Center, Inc Clinic/Center 434 E University Blvd, Tucson, AZ 85705 2019-10-02
1730681685 Casa De Los Ninos, Inc. Community/Behavioral Health 1120 N 5th Avenue, Tucson, AZ 85705 2018-03-07
1699275693 Tzimari Sotelo Nurse Practitioner 941 N 11th Ave, Tucson, AZ 85705 2018-02-15
1679956502 Dean Doan Dentist 2012 North Country Club Road, Suite E, Tucson, AZ 85705 2015-07-09
1437572955 Home Is Where The Heart Is Senior Care Home Health 4541 N Old Romero Rd, #35, Tuscon, AZ 85705 2014-02-04
1932457553 Pamela A Williamson Registered Nurse 698 E Wetmore Rd Ste 100, Tucson, AZ 85705 2012-08-29
1851629844 Francisco Antonio Sanchez Psychologist 504 E. Speedway Blvd, Tucson, AZ 85705 2009-12-02
1235466145 Maria Guadalupe Millan Contractor 870 W. Miracle Mile, La Paloma Family Services, Tucson, AZ 85705 2009-11-13
1730322678 Paradigm Clinical Clinic/Center 1324 W. Prince Road, Tucson, AZ 85705 2009-04-08
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811509581 Creosote Mental Health Group Counselor 4646 N Swan Rd Ste 105, Tucson, AZ 85718-6715 2020-08-23
1497366314 Cachora Standifer Counselor 6294 S Eagles Talon Pkwy, Tucson, AZ 85757-1639 2020-08-13
1508490673 Terrence Hickey Counselor 11235 E Sundance Dr, Tucson, AZ 85749-8280 2020-02-27
1568092815 Travis Anderson Counselor 2002 W Anklam Rd, Tucson, AZ 85745-2148 2020-01-24
1740830447 Let All Thrive, LLC Counselor 1580 N Kolb Rd Ste 200, Tucson, AZ 85715-4933 2019-09-13
1316424526 Wendy Sizer LLC Counselor 425 W Paseo Redondo Apt 3b, Tucson, AZ 85701-8258 2018-07-20
1841705043 Cynthia Miller Potter Counselor 4144 E Broadway Blvd, Tucson, AZ 85711-3455 2017-12-10
1447791165 Juan M. Salgado Counselor 7490 S. Camino De Oeste, Tucson, AZ 85757 2017-03-14
1447701867 Katheryn Fredman Counselor 3830 E. Bellevue St., Tucson, AZ 85716 2016-10-20
1104374255 Shannon Dexter Petrovich Counselor 5855 N Kolb Rd Unit 4208, Tucson, AZ 85750-0991 2016-09-19
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Competitor

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City TUCSON
Zip Code 85705

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Dataset Information

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.

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