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NICOLE ANDROMEDA SURRAN R-DMT
NPI 1790546737
Counselor in Tucson, AZ

Active since January 17, 2024
1717 N TUCSON BLVD, TUCSON, AZ 85716(520) 372-2672 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Andromeda Surran R-dmt NPPES

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

NICOLE ANDROMEDA SURRAN R-DMT (NPI 1790546737) is an individual counselor in Tucson, Arizona and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1790546737
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameNICOLE ANDROMEDA SURRANCredential: R-DMT
Location Address1717 N TUCSON BLVDTucson, AZ 85716-3074
Mailing Address1717 N Tucson BlvdTucson, AZ 85716-3074
Phone(520) 372-2672
Sole ProprietorNo
Enumeration DateJanuary 17, 2024
NPPES CertifiedJanuary 17, 2024
✔ NPI 1790546737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedDance TherapistTaxonomy 225600000X · License 2895
1717 N TUCSON BLVD, Tucson, AZ 85716
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Other Providers at the Same Location NPPES 11

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

ROBIN MEMEL FOX LPC
Counselor (Professional)
1717 N TUCSON BLVD
TUCSON, AZ 85716
Pima County (520) 372-2672
BELEN CANTO
Counselor (Mental Health)
1717 N TUCSON BLVD
TUCSON, AZ 85716
Pima County (520) 372-2672
EDWARD KERWIN III LPC
Counselor (Mental Health)
1717 N TUCSON BLVD
TUCSON, AZ 85716
Pima County (520) 955-4809
LEANNE M ROGERS
Counselor (Professional)
1717 N TUCSON BLVD
TUCSON, AZ 85716
Pima County (520) 372-2672
MS. RENAY BURGER LAMFT
Marriage & Family Therapist
1717 N TUCSON BLVD
TUCSON, AZ 85716
Pima County (520) 372-2672
KERRA SUSSMAN LAC
Counselor (Mental Health)
1717 N TUCSON BLVD
TUCSON, AZ 85716
Pima County (520) 372-2672
AUDREY DARNELL MA, LAC, NCC
Counselor
1717 N TUCSON BLVD
TUCSON, AZ 85716
Pima County (520) 372-2672
KASEY J HILL LAC
Counselor
1717 N TUCSON BLVD
TUCSON, AZ 85716
Pima County (520) 372-2672

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Surran's NPI number?

The NPI number for Nicole Surran is 1790546737. It was assigned to this individual provider in the NPPES registry on January 17, 2024.

Where is Nicole Surran located?

Nicole Surran practices at 1717 N Tucson Blvd, Tucson, AZ 85716. The listed phone number is (520) 372-2672.

What is Nicole Surran's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Nicole Surran was last updated on January 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.