# CINDY L. TATUM, CMSW, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** CLTatum & Associates Counseling
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578853735
- **Authorized official:** MS. CINDY LOU TATUM-SHIPLEY LCSW (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (623) 876-2029

## Contact information

- **Practice address:** 5400 W NORTHERN AVE, BUILDING B, SUITE 108 AND 108A, GLENDALE, AZ 85301-1406
- **Practice address phone:** (602) 574-0826
- **Mailing address:** PO BOX 5160, PEORIA, AZ 85385-5160
- **Mailing address phone:** (623) 876-2029
- **Mailing address fax:** (623) 933-7729

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | BH-3564 | AZ | — |
| 101YM0800X | Mental Health Counselor | BH-3654 | AZ | Yes |
| 101YP2500X | Professional Counselor | BH-3654 | AZ | — |
| 1041C0700X | Clinical Social Worker | BH-3654 | AZ | — |

## Other

- **Enumeration date:** 04/08/2011
- **Last updated:** 04/08/2011