MRS. DARCY DUDLESTON BRACAMONTE


Address: 17505 N. 79th Ave, 302a, Glendale, AZ 85308
Phone: 6238505404

MRS. DARCY DUDLESTON BRACAMONTE (NPI# 1902264773) 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) 1902264773
Entity Type Individual
Full Name MRS. DARCY DUDLESTON BRACAMONTE
Other Name MRS. DARCY BRACAMONTE
Credential LISAC
Practice Address 17505 N. 79th Ave
302a
Glendale
AZ 85308
Mailing Address 17505 N 79th Ave
302a
Glendale
AZ 85308-8725
Practice Telephone 6238505404
Mailing Telephone 6238505404
Enumeration Date 2016-02-08
Last Update Date 2016-02-08
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)
LISAC-11520 AZ Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
LAC-11168 AZ Behavioral Health & Social Service Providers

Office Location

Street Address 17505 N. 79TH AVE
302A
City GLENDALE
State AZ
Zip Code 85308

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952722480 Rebecca Andersen Counselor 17505 N. 79th Ave, Suite 111c, Glendale, AZ 85308 2013-12-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972102572 Inspire Wellness and Pelvic Health Clinic/Center 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 2020-10-23
1669081709 Michelle Yoakim Student in an Organized Health Care Education/Training Program 19555 N 59th Avenuue, Glendale, AZ 85308 2020-07-24
1033742291 Kaitlyn Marie Shannon Dietitian, Registered 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 2020-02-17
1295377687 Serenity Preserved Counseling Pllc Counselor 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 2019-10-17
1013567023 Caitlyn Heredia Student in an Organized Health Care Education/Training Program 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 2019-09-12
1770141061 Sydney Dangelo Student in an Organized Health Care Education/Training Program 7454 W Denaro Dr, Glendale, AZ 85308 2019-05-31
1023585742 Center for Couples Therapy, Pllc Counselor 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 2018-10-31
1831678341 Ayat Mahdi Obeidi Dentist 19420 N 59th Ave Ste D400, Glendale, AZ 85308 2018-08-07
1720580038 Lifeline Professional Counseling Services, Inc Clinic/Center 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 2018-03-02
1003318585 Danna Mavis Constance Moisii Physician Assistant 18301 N. 79th Ave #g190, Glendale, AZ 85308 2018-03-01
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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
1619509833 Helen C Tuwei Counselor 4449 W Keating Cir, Glendale, AZ 85308-3549 2020-02-05
1902469547 Nustart Inc Counselor 6608 San Fernando Rd, Glendale, CA 91201-1703 2019-04-18
1528529856 Empowerment Behavioral Care LLC Counselor 6448 W Colter St, Glendale, AZ 85301-6527 2019-03-28
1881168813 Jessica Martinez Counselor 632 Naranja Dr, Glendale, CA 91206-2522 2019-01-12
1710459359 David Ibrahim Counselor 100 N Brand Blvd Ste 412, Glendale, CA 91203-2614 2018-12-20
1104308683 David Gleghorn Counselor 6610 N 47th Ave Ste 678, Glendale, AZ 85301-4163 2018-08-31
1033590344 Eryn Elizabeth Cloutier Counselor 7468 W Irma Ln, Glendale, AZ 85308-9662 2015-06-11
1326439811 Robert D Klimek Counselor 4425 W Olive Ave Ste 200&140, Glendale, AZ 85302-3843 2015-02-05
1932549938 Narine Jugharyan Counselor 501 E. Harvard Street, Unit A, Glendale, CA 91205 2013-07-05
1316385040 Victor Rivera Counselor 4544 San Fernando Rd Ste 201, Glendale, CA 91204-5015 2013-06-04
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Competitor

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City GLENDALE
Zip Code 85308

Improve Information

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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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