MS. MOZELLE BARR MARTIN


Address: 3734 W. Vista Ave., Phoenix, AZ 85051
Phone: 6238508198

MS. MOZELLE BARR MARTIN (NPI# 1912230178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912230178
Entity Type Individual
Full Name MS. MOZELLE BARR MARTIN
Credential PHD
Practice Address 3734 W. Vista Ave.
Phoenix
AZ 85051
Mailing Address 504 S. 5th Ave.
#1427
Safford
AZ 85546
Practice Telephone 6238508198
Practice Fax Number 8883062742
Mailing Telephone 9289855050
Mailing Fax Number 6027336538
Enumeration Date 2009-09-04
Last Update Date 2020-09-25
NPI Deactivation Date 01/24/2018
NPI Reactivation Date 2020-09-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
Y 101YP1600X Counselor
Specialization: Pastoral
AZ Behavioral Health & Social Service Providers
N 101YP1600X Counselor
Specialization: Pastoral
P0214763 AZ Behavioral Health & Social Service Providers
N 175L00000X Homeopath 00012 ZZ Other Service Providers
N 103K00000X Behavioral Analyst AZ Behavioral Health & Social Service Providers
N 103K00000X Behavioral Analyst Behavioral Health & Social Service Providers

Office Location

Street Address 3734 W. VISTA AVE.
City PHOENIX
State AZ
Zip Code 85051

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Taxonomy Information

Taxonomy Code 101YP1600X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Pastoral

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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Competitor

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City PHOENIX
Zip Code 85051

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Dataset Information

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.

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