Provider Demographics
NPI:1316931918
Name:URIBE, VALERIE M (LPC)
Entity type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:M
Last Name:URIBE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:VALERIE
Other - Middle Name:M
Other - Last Name:CARPENTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:680 E PALM ST
Mailing Address - Street 2:
Mailing Address - City:LITCHFIELD PARK
Mailing Address - State:AZ
Mailing Address - Zip Code:85340-4805
Mailing Address - Country:US
Mailing Address - Phone:623-512-4882
Mailing Address - Fax:623-512-4882
Practice Address - Street 1:12725 W INDIAN SCHOOL RD
Practice Address - Street 2:SUITE E-101 MY TIME COUNSELING,PLLC
Practice Address - City:AVONDALE
Practice Address - State:AZ
Practice Address - Zip Code:85392-9520
Practice Address - Country:US
Practice Address - Phone:623-512-4882
Practice Address - Fax:623-512-4884
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-09
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC1970101YP2500X
AZLPC-1970101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional