TIM FARRELLY MS
NPI 1407868615
Counselor - Addiction (Substance Use Disorder) in Flagstaff, AZ
Active since August 13, 2006
About Tim Farrelly Ms NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIM FARRELLY MS (NPI 1407868615) is an individual addiction (substance use disorder) provider in Flagstaff, Arizona, licensed in Arizona (LISAC-10411) and active in the NPI registry since August 2006.
NPPES Registry Identity
NPI1407868615
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameTIM FARRELLYCredential: MS
Location Address2187 N VICKEY STFlagstaff, AZ 86004-6106
Mailing Address2187 N Vickey StFlagstaff, AZ 86004-6106 · (928) 714-6401
Phone(928) 714-6401
Sole ProprietorNo
Enumeration DateAugust 13, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1407868615 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in AZ · LISAC-10411
2187 N VICKEY ST, Flagstaff, AZ 86004
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
2187 N VICKEY ST
FLAGSTAFF, AZ 86004
FLAGSTAFF, AZ 86004
Counselor (Addiction (Substance Use Disorder))
2187 N VICKEY ST
FLAGSTAFF, AZ 86004
FLAGSTAFF, AZ 86004
Counselor (Addiction (Substance Use Disorder))
2187 N VICKEY ST
FLAGSTAFF, AZ 86004
FLAGSTAFF, AZ 86004
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407868615, enumerated as an "individual" on August 13, 2006.
The provider is located at 2187 N VICKEY ST FLAGSTAFF, AZ 86004 and the phone number is (928) 714-6401.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
