Amaya, Thomas John

Amaya, Thomas John is an sole proprietor health care provider with primary practice located at 9405 S Avenida Del Yaqui , Guadalupe AZ 85283-2529. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Amaya, Thomas John can be contacted via phone (480) 768-2000.

Contact Information

Primary practice address
9405 S Avenida Del Yaqui Guadalupe AZ 85283-2529
Phone: (480) 768-2000
Fax: (480) 768-2053
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 778 Montana
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1101 Montana

Profile Details

NPI number 1386703106
LBN Legal business name Amaya, Thomas John
Credentials LCPC, LAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2006
Last updated Feb 11th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386703106 NPPES
Montana MEDICAID 0256989
Montana Other 1101
Montana Other 778

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