Mrs Shirley Henderson Polk, BSN-MSN-LPC - Counselor in Scottsdale, AZ

Mrs Shirley Henderson Polk, BSN-MSN-LPC is a Counselor - Addiction (substance Use Disorder) based in Scottsdale, Arizona. Mrs Shirley Henderson Polk is licensed to practice in Arizona (license number AZDBHS #CC0545) and her current practice location is 6991 E Camelback Rd, Suite #b360, Scottsdale, Arizona. She can be reached at her office (for appointments etc.) via phone at (480) 429-9044.

NPI number for Mrs Shirley Henderson Polk is 1790911659 and her current mailing address is 5446 E Exeter Blvd, Phoenix, Arizona. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790911659.

Contact Information

Mrs Shirley Henderson Polk, BSN-MSN-LPC
6991 E Camelback Rd, Suite #b360,
Scottsdale, AZ 85251
(480) 429-9044
(480) 429-9048

Map and Direction


Healthcare Provider's Profile

Full NameMrs Shirley Henderson Polk
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location6991 E Camelback Rd, Scottsdale, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1790911659
  • Provider Enumeration Date: 06/05/2009
  • Last Update Date: 06/05/2009

Medical Identifiers

Medical identifiers for Mrs Shirley Henderson Polk such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790911659NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) AZDBHS #CC0545 (Arizona)Primary
163WA0400XRegistered Nurse - Addiction (substance Use Disorder) RN015602 (Arizona)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Shirley Henderson Polk is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Shirley Henderson Polk, BSN-MSN-LPC
5446 E Exeter Blvd,
Phoenix, AZ 85018

Ph: (602) 957-1119
Mrs Shirley Henderson Polk, BSN-MSN-LPC
6991 E Camelback Rd, Suite #b360,
Scottsdale, AZ 85251

Ph: (480) 429-9044

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