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Organization

THE COPA KRAWLER LLC

Active
Parent organization
REGINA D THOMPSON LCSW
Other names
Sonoran Behavioral Health Home
Organization subpart
Yes

Provider details

NPI number
Legal business name
REGINA D THOMPSON LCSW
Authorized official
MRS. REGINA D THOMPSON LCSW (OWNER-BHP)
(480) 868-9846
Entity
Organization

Contact information

Practice address
35444 W SAN ALVAREZ AVE, MARICOPA, AZ 85138-3702
(480) 868-9846
(520) 280-0598
Mailing address
35444 W SAN ALVAREZ AVE, MARICOPA, AZ 85138-3702
(480) 828-6198

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
251B00000X
Case Management Agency
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
170471
AZ
Enumeration date
03/27/2025
Last updated
03/27/2025
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