Ms. Mozelle Barr Martin
Counselor (Pastoral)

Address: 3734 W. Vista Ave., Phoenix, AZ 85051
Phone: 6238508198

Ms. Mozelle Barr Martin (NPI# 1912230178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1912230178
Entity Type Individual
Full Name Ms. Mozelle Barr Martin
Credential PHD
Gender Female
Practice Address 3734 W. Vista Ave.
AZ 85051
Practice Telephone 6238508198
Practice Fax Number 8883062742
Mailing Address 504 S. 5th Ave.
AZ 85546
Mailing Telephone 9289855050
Mailing Fax Number 6027336538
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2009-09-04
Last Update Date 2020-09-25
NPI Deactivation Date 01/24/2018
NPI Reactivation Date 2020-09-25

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 101Y00000X Counselor Behavioral Health & Social Service Providers
No 101YM0800X Counselor · Mental Health Behavioral Health & Social Service Providers
Yes 101YP1600X Counselor · Pastoral Behavioral Health & Social Service Providers AZ
No 101YP1600X Counselor · Pastoral Behavioral Health & Social Service Providers P0214763 AZ
No 175L00000X Homeopath Other Service Providers 00012 ZZ
No 103K00000X Behavior Analyst Behavioral Health & Social Service Providers
No 103K00000X Behavior Analyst Behavioral Health & Social Service Providers AZ

Taxonomy Information

Taxonomy Code 101YP1600X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Pastoral

Taxonomy Definition

Definition to come...

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Office Location

Street Address 3734 W. VISTA AVE.
State AZ
Zip Code 85051

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1518459080 Addie Robin Diroberts Counselor 10240 W. 31st Ave, Phoenix, AZ 85051 2018-05-31
1093239816 Jason Allan Parker Licensed Practical Nurse 3310 West Cheryl Drive, Phoenix, AZ 85051 2017-08-02
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1316184542 Tom Sowash Od & Associates PC Optometrist 9617 North Parkway West, #1160, Phoenix, AZ 85051 2009-01-09
1609026913 Luma Z Sayegh Dentist 7012 N 35th Ave, Suite 1, Phoenix, AZ 85051 2008-09-23
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Zip Code 85051

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.