ALVIS LEE ROBERTSON (NPI# 1164074282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164074282 |
| Entity Type | Individual |
| Full Name | ALVIS LEE ROBERTSON |
| Practice Address |
3850 N. 16th St. E. Beltline Rd. Laveen AZ 85339 |
| Mailing Address |
17242 S Healthcare Dr Laveen AZ 85339-8501 |
| Practice Telephone | 5207963860 |
| Practice Fax Number | 5207963801 |
| Mailing Telephone | 5207963860 |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2019-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
11595 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
3850 N. 16TH ST. E. BELTLINE RD. |
| City | LAVEEN |
| State | AZ |
| Zip Code | 85339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093351611 | Nationwide Vision Center, LLC | Technician/Technologist | 7650 S 59th Ave, Suite 101, Laveen, AZ 85339 | 2019-11-19 |
| 1912493933 | Kristine Robles | Specialist/Technologist | 6501 W Alta Vista Rd, Laveen, AZ 85339 | 2018-07-02 |
| 1366968521 | Care Line, LLC | Home Health | 5818 West Pedro Lane, Laveen, AZ 85339 | 2017-08-19 |
| 1881119550 | Calvary Home Care Services Inc | Day Training, Developmentally Disabled Services | 4360 W. Alta Vista Rd, Laveen, AZ 85339 | 2017-08-03 |
| 1295284354 | Brian Hiapo Jr. | Assistant, Podiatric | 6170 S 51st Ave Ste 103, Laveen, AZ 85339 | 2016-09-29 |
| 1962850073 | Laveen Pediatric Dental Partners, LLP | Dentist | 5235 W. Baseline Rd, Ste 187, Laveen, AZ 85339 | 2016-05-31 |
| 1619353992 | Tiffany Lee | Specialist/Technologist | 7034 S. 64ave, Laveen, AZ 85339 | 2015-08-10 |
| 1558759068 | Makoto Wakamori | Counselor | 3850 North 16th Street Laveen Az 85339, Laveen, AZ 85339 | 2015-01-06 |
| 1568850329 | Gila River Health Care Corporation | Community Based Residential Treatment Facility, Mental Illness | 142226 S 53rd Ave, Laveen, AZ 85339 | 2015-01-02 |
| 1326442393 | Consuelo Hidalgo | Counselor | 3611 W. Cheyenne Drive, Laveen, AZ 85339 | 2014-10-20 |
| Find all providers in zip 85339 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801352216 | Safe Management, LLC | Counselor | 4433 W Paseo Way, Laveen, AZ 85339-2087 | 2019-02-11 |
| 1841657277 | India Caldwell-cox | Counselor | 8925 S 40th Ln, Laveen, AZ 85339-7818 | 2016-01-14 |
| 1285261560 | Robyn Kris Defer | Counselor | 4577 W Pecos Rd, Laveen, AZ 85339-9002 | 2020-03-25 |
| 1952936726 | Natasha Marie Hansen | Counselor | 17242 S Healthcare Dr, Laveen, AZ 85339-8501 | 2020-03-11 |
| 1275196149 | Our Home of Unity LLC | Counselor | 8709 S 47th Ln, Laveen, AZ 85339-2179 | 2019-04-17 |
| 1134660442 | Deborah Sue Metzger | Counselor | 4577 W Pecos Rd, Laveen, AZ 85339-9002 | 2017-03-20 |
| 1235597121 | Leonard Camp | Counselor | 17242 S Healthcare Dr, Laveen, AZ 85339-8501 | 2016-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534946 | Jodie Lynn Gonzalez | Counselor | 20430 W Carla Vista, Buckeye, AZ 85326-4698 | 2020-10-06 |
| 1649885716 | Global Family LLC | Counselor | 4523 N 92nd Ave, Phoenix, AZ 85037-2450 | 2020-09-15 |
| 1891300299 | Roundsville Drug and Alcohol Treatment of Arizona | Counselor | 610 N Bagby Dr, Prescott, AZ 86301-2588 | 2020-09-11 |
| 1982218772 | Bashar Aldeen | Counselor | 3401 W Country Gables Dr, Phoenix, AZ 85053-4756 | 2020-08-31 |
| 1811509581 | Creosote Mental Health Group | Counselor | 4646 N Swan Rd Ste 105, Tucson, AZ 85718-6715 | 2020-08-23 |
| 1316559644 | Pamela Mcrae | Counselor | 17611 W Pershing St, Surprise, AZ 85388-5024 | 2020-08-18 |
| 1508478082 | Tahonna Latreise Surrell | Counselor | 3236 E Chandler Blvd Unit 1034, Phoenix, AZ 85048-7281 | 2020-08-17 |
| 1619588209 | Teri Sebastian | Counselor | 240 S Montezuma St Ste 201e, Prescott, AZ 86303-4712 | 2020-08-16 |
| 1497366314 | Cachora Standifer | Counselor | 6294 S Eagles Talon Pkwy, Tucson, AZ 85757-1639 | 2020-08-13 |
| 1346858883 | Heather Romero | Counselor | 110 W Camelback Rd Ste 200, Phoenix, AZ 85013-2564 | 2020-07-21 |
| Find all providers with the same taxonomy | ||||
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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.