| Ms Samantha Cheyenne-dahl Moss, LPC | |
|
14247 W Calle Lejos, Surprise, AZ 85387-1839 | |
| (623) 261-9502 | |
| Not Available |
| Full Name | Ms Samantha Cheyenne-dahl Moss |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 14247 W Calle Lejos, Surprise, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740898378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC-22689 (Arizona) | Primary |
| Entity Name | Crisis Preparation And Recovery Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588720650 PECOS PAC ID: 3173624384 Enrollment ID: O20070718000308 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Samantha Cheyenne-dahl Moss, LPC 1400 E Southern Ave, Tempe, AZ 85282-5691 Ph: () - | Ms Samantha Cheyenne-dahl Moss, LPC 14247 W Calle Lejos, Surprise, AZ 85387-1839 Ph: (623) 261-9502 |
Jessica Frost, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 18789 N Reems Rd, Surprise, AZ 85374 Phone: 602-434-3069 | |
Anna Miller, M.A, NCC, LPC Counselor Medicare: Medicare Enrolled Practice Location: 16960 W Bell Rd Ste 502, Surprise, AZ 85374 Phone: 760-498-3077 | |
Arlen Jacob Spatz, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 18789 N Reems Rd Ste 260, Surprise, AZ 85374 Phone: 480-228-8993 | |
Angela Christian, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15282 W Brookside Ln Ste 110, Surprise, AZ 85374 Phone: 623-466-3182 | |
Mrs. Judith Ann Langreder, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12211 W Bell Rd, 109, Surprise, AZ 85374 Phone: 623-332-6150 Fax: 623-243-6207 | |
Bonnie Ann Den Dooven, MC, LPC, CSAT Counselor Medicare: Not Enrolled in Medicare Practice Location: 15331 W Bell Rd Ste 212, Surprise, AZ 85374 Phone: 928-231-2411 Fax: 928-231-2411 | |
April Lain, M.ED, LISAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15270 W Brookside Ln Ste 121, Surprise, AZ 85374 Phone: 623-432-0668 |