LYDIANE PAMBOUD
NPI 1730041336
Community Based Residential Treatment Facility, Mental Illness in Tucson, AZ
- Individual
- Female
- Community Based Residential Treatment Fa...
About LYDIANE PAMBOUD
This page provides the complete NPI Profile along with additional information for Lydiane Pamboud, a provider established in Tucson, Arizona with a medical specialization in Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1730041336 assigned on December 2025. The practitioner's primary taxonomy code is 320800000X with license number ADBH20008 (AZ). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1730041336 Verify this NPI
- Provider Name
- LYDIANE PAMBOUD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2048 S MCCONNELL DR TUCSON, AZ 85710
- Location Phone
- (520) 257-9744
- Mailing Address
- 4000 N CENTRAL AVE STE 100 PHOENIX, AZ 85012
- Mailing Phone
- (602) 708-0240
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-02-2025
- Last Update Date
- 12-02-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community Based Residential Treatment Facility, Mental Illness
- Taxonomy Code
- 320800000X
- Type
- Residential Treatment Facilities
- License No.
- ADBH20008
- License State
- AZ
- Taxonomy Description
- A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 385H00000X | Respite Care Facility | Respite Care | ADBH20008 (AZ) |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730041336, enumerated as an "individual" on December 02, 2025.
The provider is located at 2048 S MCCONNELL DR TUCSON, AZ 85710 and the phone number is (520) 257-9744.
Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.
