Mr Hugh M Keating, MA | |
2601 N Stockton Hill Rd, Ste. 10, Kingman, AZ 86401-4191 | |
(928) 897-0881 | |
(928) 753-1226 |
Full Name | Mr Hugh M Keating |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 2601 N Stockton Hill Rd, Kingman, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962517359 | NPI | - | NPPES |
847866 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 10910 (Arizona) | Primary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826 |
Mailing Address | Practice Location Address |
---|---|
Mr Hugh M Keating, MA 1611 Arlington St, Kingman, AZ 86401-6293 Ph: (928) 897-0881 | Mr Hugh M Keating, MA 2601 N Stockton Hill Rd, Ste. 10, Kingman, AZ 86401-4191 Ph: (928) 897-0881 |
Ms. Staci Rene' Delaney, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2252 Kingman Ave, Kingman, AZ 86401 Phone: 928-303-0269 | |
Miss Robyn K Yost, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1751 Stockton Hill Rd, Suite B, Kingman, AZ 86401 Phone: 928-377-9599 Fax: 928-757-3388 | |
Tanja Gromala, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3175 Gordon Dr, Kingman, AZ 86409 Phone: 928-757-4328 | |
Reva Jean Sorber, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4605 N Arnold Rd, Kingman, AZ 86409 Phone: 928-757-8993 | |
Dr. Lorraine Rachelle Long, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1850 Gates Ave, Kingman, AZ 86401 Phone: 928-377-0452 | |
Leellen Lou Anderson, LASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2002 N Stockton Hill Rd, Kingman, AZ 86401 Phone: 928-718-4800 Fax: 928-718-5666 | |
Sarah Elizabeth Mcphillips, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2215 Hualapai Mountain Rd Ste F-i, Kingman, AZ 86401 Phone: 928-753-9387 Fax: 928-753-9404 |