MICHAEL WHITWORTH LAC
NPI 1689427668
Counselor - Mental Health in Peoria, AZ

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since April 09, 2024

13260 N 94TH DR STE 100, PEORIA, AZ 85381(623) 487-7763(623) 486-8276 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Michael Whitworth Lac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL WHITWORTH LAC (NPI 1689427668) is an individual mental health provider in Peoria, Arizona, licensed in Arizona (19499) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1689427668

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMICHAEL WHITWORTHCredential: LAC

Location Address13260 N 94TH DR STE 100Peoria, AZ 85381-4242

Mailing Address13260 N 94th Dr Ste 100Peoria, AZ 85381-4242 · (623) 487-7763 · Fax (623) 486-8276

Phone(623) 487-7763

Fax(623) 486-8276

Sole ProprietorNo

Enumeration DateApril 9, 2024

NPPES CertifiedApril 9, 2024

✔ NPI 1689427668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in AZ · 19499

13260 N 94TH DR STE 100, Peoria, AZ 85381

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Other Identifiers 1

Other19499AZ · License

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. KEVIN MOLER LPC

Counselor (Professional)