Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Miranda McCoy

Individual provider Child Mental Illness Respite Care · NPI 1487722369

Miranda McCoy is registered under Child Mental Illness Respite Care in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2006
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Practice location Address checks out

5205 W Fulton St
Phoenix, AZ 85043-2000 Not confirmed with CMS for 18 years — call before visiting
Phone: (623) 204-8901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child Mental Illness Respite Care (primary) Taxonomy 385HR2055X · Licence 11361 (AZ)

Record details

NPI number1487722369
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 1, 2006
Last updated in NPPESDecember 14, 2007

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