TRAUMACARE INSTITUTE, PLLC (NPI# 1275990368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275990368 |
| Entity Type | Organization |
| Organization Name | TRAUMACARE INSTITUTE, PLLC |
| Practice Address |
61 West Center Street Snowflake AZ 85937 |
| Mailing Address |
2638 Old Schoolhouse Road Show Low AZ 85901 |
| Practice Telephone | 4805106780 |
| Mailing Telephone | 4805106780 |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-01-21 |
| Authorized Official Name | MICHAEL SHANE LUCK (OWNER/MANAGER) |
| Authorized Official Telephone | 4805106780 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC-15864 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
61 WEST CENTER STREET |
| City | SNOWFLAKE |
| State | AZ |
| Zip Code | 85937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659736338 | Michael Shane Luck | Counselor | 61 West Center, Snowflake, AZ 85937 | 2015-12-22 |
| 1093128589 | Mark Porter Caldwell | Physical Therapist | 1788 Prairie Rd, Snowflake, AZ 85937 | 2014-06-03 |
| 1528329331 | Craig Reed West Dds PC | Dentist | 439 South Main, Snowflake, AZ 85937 | 2012-06-07 |
| 1295972651 | C and K Home Furnishings | Durable Medical Equipment & Medical Supplies | 1355 S. Main Street, Snowflake, AZ 85937 | 2009-01-07 |
| 1821274408 | Jackie C Blair | Counselor | 146 School Bus Lane, Snowflake, AZ 85937 | 2008-01-14 |
| 1164575650 | Snowflake Unified School District #5 | Local Education Agency (LEA) | 682 School Bus Lane, Snowflake, AZ 85937 | 2007-01-19 |
| 1225009608 | Larry W Nichols | Family Medicine | 590 S Main St, Snowflake, AZ 85937 | 2006-02-01 |
| 1326123720 | Snowflake School District | Local Education Agency (LEA) | 682 School Bus Lane, Snowflake School District, Snowflake, AZ 85937-0000 | 2006-10-25 |
| 1679710529 | White Mountain Eye Care Center PC | Optometrist | 176 N Main St, Snowflake, AZ 85937-5054 | 2009-01-14 |
| 1659597722 | Connie Kaye Gardner | Occupational Therapist | 205 W F Bar Ln, Snowflake, AZ 85937-5094 | 2007-04-17 |
| Find all providers in zip 85937 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750618773 | Carol Lynn Winters | Counselor | 184 S Main St Ste 2, Snowflake, AZ 85937-5269 | 2009-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588967 | Suzanne Basco | Counselor | 27072 N 175th Dr, Surprise, AZ 85387-1094 | 2020-11-04 |
| 1568063154 | Cleshaun A Dubose | Counselor | 6344 E Brown Rd Ste 104, Mesa, AZ 85205-4843 | 2020-11-02 |
| 1730789694 | Maryann Potter | Counselor | 4315 W Faull Dr, New River, AZ 85087-4908 | 2020-10-29 |
| 1477153377 | Karen Lee Williams | Counselor | 7655 Eest Redfield Rd, Suite 4, Scottsdale, AZ 85260 | 2020-10-29 |
| 1417557729 | Psychological and Consulting Services LLC | Counselor | 331 N 1st Ave Ste 102, Phoenix, AZ 85003-4528 | 2020-10-27 |
| 1154928059 | Jennifer Thompson | Counselor | 1310 W Stottler Dr, Chandler, AZ 85224-2716 | 2020-10-04 |
| 1235736208 | Yovana Apodaca | Counselor | 8758 E Mountain Spring Dr, Tucson, AZ 85747-5659 | 2020-10-02 |
| 1639785751 | Andre E Matthews | Counselor | 12600 N 113th Ave Ste B8, Youngtown, AZ 85363-1163 | 2020-09-23 |
| 1497361786 | Patricia L Pritchett | Counselor | 8893 N Lessing Ct, Tucson, AZ 85742-4443 | 2020-09-22 |
| 1861008203 | Entelechy Holdings | Counselor | 2383 E Springfield Pl, Chandler, AZ 85286-1206 | 2020-09-21 |
| 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.