Mrs Nicole Teresa Spahl, LPC, MA | |
1939 Frontage Rd Ste A, Sierra Vista, AZ 85635-4638 | |
(520) 452-9784 | |
(520) 452-0814 |
Full Name | Mrs Nicole Teresa Spahl |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 1939 Frontage Rd Ste A, Sierra Vista, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295828234 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC12344 (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: O20210318002844 |
Mailing Address | Practice Location Address |
---|---|
Mrs Nicole Teresa Spahl, LPC, MA 3170 E Fort Lowell Rd, Tucson, AZ 85716-1615 Ph: (520) 795-4977 | Mrs Nicole Teresa Spahl, LPC, MA 1939 Frontage Rd Ste A, Sierra Vista, AZ 85635-4638 Ph: (520) 452-9784 |
Stephanie Mcinelly, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2300 E Fry Blvd, #3694, Sierra Vista, AZ 85635 Phone: 509-724-0920 | |
James Andrew Dunbar, MC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4151 La Linda Way, Ste 102, Sierra Vista, AZ 85635 Phone: 520-515-9610 | |
Angelika Christine Babcock, LPC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 3781 E Holly Pl, Sierra Vista, AZ 85650 Phone: 254-223-0503 | |
Miss Shelby Tuttle, Counselor Medicare: Not Enrolled in Medicare Practice Location: 174 S Coronado Dr Ste B, Sierra Vista, AZ 85635 Phone: 520-442-2812 | |
Marcell Roberson Jr., LPC,NCC,BHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2039 E Wilcox Dr, Sierra Vista, AZ 85635 Phone: 520-686-9252 | |
Ms. Linda Elaine Elliott, MAED Counselor Medicare: Not Enrolled in Medicare Practice Location: 2349 Piccadilly Cir, Sierra Vista, AZ 85635 Phone: 520-249-9461 | |
Ms. Kathryn Jo Weaver, LCSW & LAT Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 N Coronado Dr Ste A, Sierra Vista, AZ 85635 Phone: 520-343-2940 |