MRS. CHANDA LISE GONZALES (NPI# 1831406388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831406388 |
| Entity Type | Individual |
| Full Name | MRS. CHANDA LISE GONZALES |
| Credential | LISAC, LPC |
| Practice Address |
6909 W Ray Rd Ste 15-143 Chandler AZ 85226 |
| Mailing Address |
6909 W. Ray Rd. Suite 15-143 Chandler AZ 85226-1699 |
| Practice Telephone | 4806304067 |
| Mailing Telephone | 4806304067 |
| Enumeration Date | 2010-09-04 |
| Last Update Date | 2018-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LISAC-15077 | AZ | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC-17147 | AZ | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1821 N Trekell Rd Ste 7, Casa Grande, AZ 851221705 | 5208769293 | 5208769334 |
| 900 E Florence Blvd Ste G, Casa Grande, AZ 851224673 | 5208364278 | 5208361786 |
| Street Address |
6909 W RAY RD STE 15-143 |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760965941 | Evolution Recovery and Wellness LLC | Counselor | 6909 W Ray Rd Ste 15-143, Chandler, AZ 85226-1699 | 2018-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922594076 | Diplomat Specialty Pharmacy of Phoenix, LLC | Durable Medical Equipment & Medical Supplies | 485 N Juniper Dr, Chandler, AZ 85226 | 2018-07-02 |
| 1073011961 | Joshua David Heiller | Physical Therapist | 5590 W Chandler Blvd Ste B4, Chandler, AZ 85226 | 2018-01-25 |
| 1053771808 | Jessie Beliard | Counselor | 6909 W Ray Rd Ste 138, Chandler, AZ 85226 | 2016-03-07 |
| 1750754206 | Homestead Hospice of Phoenix LLC | Hospice Care, Community Based | 5355 W Chandler Blvd, Suite 3, Chandler, AZ 85226 | 2015-11-05 |
| 1003288192 | Savannah Torrez | Physical Therapist | 5590 W Chandler Blvd Ste B-4, Chandler, AZ 85226 | 2015-10-28 |
| 1437401528 | Larry W. Ganann | Pharmacist | 4949 W. Ray Road, Chandler, AZ 85226 | 2012-10-12 |
| 1629329503 | East Valley Urgent Care,llc | Clinic/Center | 4959 W Ray Road, Chandler, AZ 85226 | 2012-10-02 |
| 1457609158 | Patricia Dobratz | Marriage & Family Therapist | 6100 W Gila Springs Pl, Suite 19, Chandler, AZ 85226 | 2012-08-28 |
| 1689874323 | Arizona Dental Design | Dentist | 4940 W. Ray Road Suite 8, Chandler, AZ 85226 | 2007-07-20 |
| 1396955464 | Que Karbassy | Chiropractor | 4910 West Ray Road Suite 2, Chandler, AZ 85226 | 2007-05-23 |
| Find all providers in zip 85226 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154928059 | Jennifer Thompson | Counselor | 1310 W Stottler Dr, Chandler, AZ 85224-2716 | 2020-10-04 |
| 1861008203 | Entelechy Holdings | Counselor | 2383 E Springfield Pl, Chandler, AZ 85286-1206 | 2020-09-21 |
| 1184239188 | Veronica Guzman | Counselor | 1910 E Tulsa St, Chandler, AZ 85225-8246 | 2020-09-15 |
| 1679184204 | Kris Marie Teets | Counselor | 3813 E Old Stone Cir N, Chandler, AZ 85249-5789 | 2020-08-17 |
| 1528686623 | Amee Kim Vermeire | Counselor | 820 W Dublin St, Chandler, AZ 85225-7229 | 2020-07-06 |
| 1386265031 | Steven Yates | Counselor | 1377 E Glacier Pl, Chandler, AZ 85249-5458 | 2020-05-05 |
| 1316576671 | Konia Nikas | Counselor | 2177 S Mcqueen Rd Apt 2051, Chandler, AZ 85286-1842 | 2020-04-07 |
| 1447883731 | Kellye Kohn | Counselor | 250 E Ray Rd Apt 1006, Chandler, AZ 85225-1946 | 2020-02-15 |
| 1962033126 | Vicky A. Newsom | Counselor | 6292 W Linda Ln, Chandler, AZ 85226-5847 | 2020-01-27 |
| 1629618962 | Danica Lynne Williams | Counselor | 3800 S. Nebraska St., Chandler, AZ 85248 | 2020-01-15 |
| Find all providers in CHANDLER | ||||
Please comment or provide details below to improve the information on MRS. CHANDA LISE GONZALES.
| 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.