AMANDA WATERCOLOR GOLIGHTLY (NPI# 1639799018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639799018 |
| Entity Type | Individual |
| Full Name | AMANDA WATERCOLOR GOLIGHTLY |
| Credential | LAC |
| Practice Address |
2016 E Broadway Blvd Tucson AZ 85719-5936 |
| Mailing Address |
2105 N Edison Ter Tucson AZ 85716-2807 |
| Practice Telephone | 5203586682 |
| Mailing Telephone | 5203586682 |
| Enumeration Date | 2020-04-25 |
| Last Update Date | 2020-04-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LAC-18698 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
2016 E BROADWAY BLVD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85719-5936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649813635 | Ishani Ravindra Deo | Psychologist | 1051 E Mabel St, Tucson, AZ 85719 | 2019-10-22 |
| 1235793100 | Jacquelyn Christine Wagner | Pediatrics | 1625 N Campbell, Tucson, AZ 85719 | 2019-04-26 |
| 1831652189 | Derek Allan Hatfield | Emergency Medicine | 1625 N Campbell Ave., Tucson, AZ 85719 | 2019-04-12 |
| 1053874305 | Travis Patrick Martin | Emergency Medicine | 1625 N. Campbell Ave, Tucson, AZ 85719 | 2019-04-12 |
| 1245793504 | Martin Cisneroz | Emergency Medicine | 1625 North Campbell Avenue, Tucson, AZ 85719 | 2019-04-12 |
| 1174086722 | Sarah Joy Ring | Emergency Medicine | 1625 N. Campbell Ave., Tucson, AZ 85719 | 2019-04-10 |
| 1790245520 | Akash M Doshi | Student in an Organized Health Care Education/Training Program | 3838 N Campbell Avenue, Bldg 2, Tuscon, AZ 85719 | 2019-03-20 |
| 1942773668 | Jeffery Roy Small | Massage Therapist | 3607 N Vine, Tucson, AZ 85719 | 2019-01-04 |
| 1114434180 | Elizabeth Irene Welch | Behavioral Analyst | 1430 E Fort Lowell Rd Ste 100, Tucson, AZ 85719 | 2017-12-29 |
| 1477076255 | Medavail Pharmacy Inc. | Pharmacy | 1430 E Fort Lowell Rd Ste 120, Tucson, AZ 85719 | 2017-07-24 |
| Find all providers in zip 85719 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245841808 | Sara Diaz | Counselor | 3220 W Ina Rd Apt 19106, Tucson, AZ 85741-2173 | 2020-08-16 |
| 1326656927 | John H Shukwit | Counselor | 9041 E 32nd Pl, Tucson, AZ 85710-7923 | 2020-07-20 |
| 1356959951 | Ridgeline Practice | Counselor | 4625 N Broadway, Suite 105, Tucson, AZ 85711 | 2020-07-20 |
| 1760090542 | Caila Lipovsky | Counselor | 3700 N Fairview Ave Apt 203, Tucson, AZ 85705-3472 | 2020-07-17 |
| 1720603343 | Crossing Arrows Counseling Services | Counselor | 921 S Craycroft Rd, Tucson, AZ 85711-7112 | 2020-06-09 |
| 1659993574 | Tucson Hope LLC | Counselor | 5700 E Pima St Ste C, Tucson, AZ 85712-5637 | 2020-05-13 |
| 1922632371 | Richard Moon | Counselor | 2710 W Placita Mesa Alta, Tucson, AZ 85742-8736 | 2020-02-25 |
| 1184258659 | Small Steps In Wellness | Counselor | 1955 W Grant Rd Ste 125, Tucson, AZ 85745-1481 | 2020-02-24 |
| 1285266460 | Noreen O'shea | Counselor | 3230 N Craycroft Rd Apt 3, Tucson, AZ 85712-5246 | 2020-02-06 |
| 1700418043 | Christine Marie Kraft | Counselor | 7382 N La Cholla Blvd, Tucson, AZ 85741-2305 | 2020-02-05 |
| 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.