CYNTHIA MILLER POTTER (NPI# 1841705043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841705043 |
Entity Type | Individual |
Full Name | CYNTHIA MILLER POTTER |
Credential | MA, LASAC, CCTP, ADP |
Practice Address |
4144 E Broadway Blvd Tucson AZ 85711-3455 |
Practice Telephone | 5209545454 |
Mailing Telephone | 5209545454 |
Enumeration Date | 2017-12-10 |
Last Update Date | 2019-10-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LASAC-13184 | AZ | Behavioral Health & Social Service Providers |
Street Address |
4144 E BROADWAY BLVD |
City | TUCSON |
State | AZ |
Zip Code | 85711-3455 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902449077 | Hidden Paradox, LLC | Clinic/Center | 4144 E Broadway Blvd, Tucson, AZ 85711-3455 | 2019-10-22 |
1053965376 | A Living Room On Broadway, Pllc | Substance Abuse Rehabilitation Facility | 4144 E Broadway Blvd, Tucson, AZ 85711-3455 | 2019-07-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356959951 | Ridgeline Practice | Counselor | 4625 N Broadway, Suite 105, Tucson, AZ 85711 | 2020-07-20 |
1881229946 | Famiglia Amore II LLC | Assisted Living Facility | 632 N. Wilmot, Tucson, AZ 85711 | 2020-03-10 |
1992343362 | Laurie Anne Mcmahon | Family Medicine | 899 N. Wilmot, Building B, Tucson, AZ 85711 | 2019-12-17 |
1063060093 | Sharese Ann Bailey | Counselor | 300 S Craycroft Rd, Tucson, AZ 85711 | 2019-09-03 |
1467940015 | Jin Zhang | Ophthalmology | 655 N Alvernon Way Ste 204, Tucson, AZ 85711 | 2018-04-30 |
1447779525 | Catherine Butler Hobart | Pharmacist | 535 North Wilmont Road, Suite 101, Tucson, AZ 85711 | 2017-09-11 |
1689196420 | Cope Community Services, Inc. | Case Management | 924 N Alvernon Way, Tucson, AZ 85711 | 2017-07-13 |
1124561477 | Regina Maendler | Behavioral Analyst | 630 N. Craycroft Rd, Tucson, AZ 85711 | 2016-11-18 |
1881140184 | Elleda Linsmeyer | Speech-Language Pathologist | St. Joesph's Hosptial, 350 N. Wilmont Rd., Tucson, AZ 85711 | 2016-08-28 |
1962856260 | Csl-tucson, LLC | Assisted Living Facility | 1020 N. Woodland Avenue, Tucson, AZ 85711 | 2016-04-22 |
Find all providers in zip 85711 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
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 |
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 |
1821541806 | Terry Gray | Counselor | 7031 E Edgemont St, Tucson, AZ 85710-1229 | 2016-07-26 |
Find all providers in TUCSON |
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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.