MS. LAURIE ALICE TETREAULT (NPI# 1346466422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346466422 |
| Entity Type | Individual |
| Full Name | MS. LAURIE ALICE TETREAULT |
| Credential | M.A. |
| Practice Address |
240 S Montezuma St Ste. 104 Prescott AZ 86303-4712 |
| Practice Telephone | 9287174901 |
| Practice Fax Number | 9287719499 |
| Mailing Telephone | 9287174901 |
| Mailing Fax Number | 9287719499 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Street Address |
240 S MONTEZUMA ST STE. 104 |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86303-4712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316965502 | Michele M Peters | Nurse Practitioner | 240 S Montezuma St, Prescott, AZ 86303-4712 | 2006-07-17 |
| 1013546530 | Counselors On Call LLC | Community/Behavioral Health | 240 S Montezuma St, Prescott, AZ 86303-4712 | 2020-04-06 |
| 1558896746 | Selah Care, Inc | Preferred Provider Organization | 240 S Montezuma St, Suite 206, Prescott, AZ 86303-4712 | 2017-04-25 |
| 1578826517 | Dual Recovery Solutions LLC | Community/Behavioral Health | 240 S Montezuma St, Suite 201, Prescott, AZ 86303-4712 | 2012-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518447598 | Jacqueline Schlosser | Respite Care | 237 S. Washington Ave., Prescott, AZ 86303 | 2018-08-18 |
| 1033699210 | Anna Rachel Seno | Psychologist | 300 S Granite Street, Prescott, AZ 86303 | 2018-08-17 |
| 1871944322 | Jessie Deverna | Counselor | 450 W Goodwin St Suite 103b, Prescott, AZ 86303 | 2016-06-27 |
| 1154782845 | Walmart | Pharmacy | 1120 N. Opal Dr., Prescott, AZ 86303 | 2016-03-09 |
| 1710377650 | Compass Recovery Center LLC | Clinic/Center | 711 S. Granite St, Prescott, AZ 86303 | 2015-01-30 |
| 1154727527 | Anne Gurley Klever | Pharmacist | 500 Arizona 89, Prescott, AZ 86303 | 2014-11-13 |
| 1295131860 | Kathi Sabot | Registered Nurse | 146 S. Granite Street, Prescott Unified School District, Prescott, AZ 86303 | 2014-11-10 |
| 1457697989 | Kim K. Mcintyre | Counselor | 505 S. Cortez St., Prescott, AZ 86303 | 2013-01-03 |
| 1578885257 | Wesley Carl Kitchens | Counselor | 315 W Goodwin St, Prescott, AZ 86303 | 2010-02-22 |
| 1588805907 | Jacob Lee Bean | Physical Therapist | 6820 El Dorado Dr, Prescott, AZ 86303 | 2009-03-14 |
| Find all providers in zip 86303 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114460540 | Sherrina Johnson | Marriage & Family Therapist | 1086 E Wagon Wheel Dr, Prescott, AZ 86303-8236 | 2016-12-03 |
| 1477797504 | Lee E Geldmacher | Marriage & Family Therapist | 510 E. Moeller St., Prescott, AZ 86301 | 2009-04-20 |
| 1710137633 | Tony John Himes | Marriage & Family Therapist | 525 E Willis St, Prescott, AZ 86301-3141 | 2008-09-27 |
| 1588878920 | Mary Elizabeth Anderson | Marriage & Family Therapist | 4966 W Black Stallion Dr, Prescott, AZ 86305-4569 | 2007-05-09 |
| 1770660326 | Elizabeth A. Dahlmeier-sousa | Marriage & Family Therapist | 143 N Mccormick St Ste 204, Prescott, AZ 86301-2726 | 2006-11-01 |
| 1508223892 | Stephanie Rosebaugh | Marriage & Family Therapist | 1129 W Iron Springs Rd, Prescott, AZ 86305-1623 | 2016-01-18 |
| 1699153395 | Kyle Rosebaugh | Marriage & Family Therapist | 1129 W Iron Springs Rd, Prescott, AZ 86305-1623 | 2015-05-13 |
| 1497090245 | Laura A Crimmins | Marriage & Family Therapist | 711 Whipple St, Prescott, AZ 86301-1717 | 2012-12-05 |
| 1396928107 | Marion Elizabeth Anderson | Marriage & Family Therapist | 812 Valley St, Prescott, AZ 86305-1826 | 2007-12-14 |
| 1477746097 | Alena Steed | Marriage & Family Therapist | 1484 W 1st St N, Prescott, AR 71857-3339 | 2007-08-27 |
| Find all providers in PRESCOTT | ||||
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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.