# MYRIAD COUNSELING AND CONSULTING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093180309
- **Authorized official:** LISA GOLDSTONE MS, PHARMD (CO-OWNER)
- **Authorized official phone:** (520) 395-5277

## Contact information

- **Practice address:** 4525 E SKYLINE DR, SUITE 114, TUCSON, AZ 85718-1666
- **Practice address phone:** (520) 395-5277
- **Mailing address:** 4525 E SKYLINE DR, SUITE 114, TUCSON, AZ 85718-1666

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 1835P1200X | Pharmacotherapy Pharmacist | — | NULL | — |
| 1835P1200X | Pharmacotherapy Pharmacist | — | — | — |
| 1835P1300X | Psychiatric Pharmacist | — | NULL | — |
| 1835P1300X | Psychiatric Pharmacist | — | — | — |

## Other

- **Enumeration date:** 12/11/2015
- **Last updated:** 12/11/2015