Organization
A LIVING ROOM ON BROADWAY, PLLC
Active
Parent organization
A LIVING ROOM ON BROADWAY
Organization subpart
Yes
Provider details
NPI number
Legal business name
A LIVING ROOM ON BROADWAY
Authorized official
CYNTHIA MILLER-POTTER LASAC (PSYCHOTHERAPIST)
(520) 954-5454
Entity
Organization
Contact information
Practice address
5051 N SABINO CANYON RD UNIT 1147, TUCSON, AZ 85750-6457
(520) 954-5454
Mailing address
5051 N SABINO CANYON RD UNIT 1147, TUCSON, AZ 85750-6457
(520) 954-5454
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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