TAHONNA LATREISE SURRELL


Address: 3236 E Chandler Blvd Unit 1034, Phoenix, AZ 85048-7281
Phone: 5202806272

TAHONNA LATREISE SURRELL (NPI# 1508478082) 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) 1508478082
Entity Type Individual
Full Name TAHONNA LATREISE SURRELL
Credential MS
Practice Address 3236 E Chandler Blvd Unit 1034
Phoenix
AZ 85048-7281
Practice Telephone 5202806272
Mailing Telephone 5202806272
Enumeration Date 2020-08-17
Last Update Date 2020-08-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

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

Office Location

Street Address 3236 E CHANDLER BLVD UNIT 1034
City PHOENIX
State AZ
Zip Code 85048-7281

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NPI Name Taxonomy Address Enumeration
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1699299560 Brianna Alean Kinsey Student in an Organized Health Care Education/Training Program 16214 S. 1st Street, Phoenix, AZ 85048 2017-08-01
1497278113 Teague Duncan Wilson Specialist/Technologist 3305 E Nighthawk Way, Phoenix, AZ 85048 2017-07-25
1730550146 Jennifer Zazueta Physician Assistant 4126 E Nighthawk Way, Phoenix, AZ 85048 2015-10-12
1235551904 Louise Marie Braunbeck Physical Therapy Assistant 16649 S 24th Place, Phoenix, AZ 85048 2014-01-14
1780026260 Erin Onacki Social Worker 4530 E Muirwood Dr. Suite 103, Phoenix, AZ 85048 2013-07-24
1649528720 Cody A Morales Social Worker 4654 E Mountain Vista Dr, Phoenix, AZ 85048 2012-08-21
1417168287 Lori Lynn Haas Social Worker 4025 E. Chandler Boulevard, #70-e7, Phoenix, AZ 85048 2007-05-24
1285847210 Jonne Amorette Housh Nurse Practitioner 4545 E Chandler Blvd., Phoenix, AZ 85048 2007-05-07
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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...

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Competitor

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City PHOENIX
Zip Code 85048

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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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