Ryan Goldman, LPC | |
11301 N 99th Ave, Peoria, AZ 85345-5466 | |
(623) 977-8373 | |
Not Available |
Full Name | Ryan Goldman |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 11301 N 99th Ave, Peoria, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710350442 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC 15898 (* (Not Available)) | Primary |
Entity Name | Arizona Total Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700433885 PECOS PAC ID: 6800128539 Enrollment ID: O20191030002591 |
Mailing Address | Practice Location Address |
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Ryan Goldman, LPC 16017 S 45th St, Phoenix, AZ 85048-7634 Ph: () - | Ryan Goldman, LPC 11301 N 99th Ave, Peoria, AZ 85345-5466 Ph: (623) 977-8373 |
Traci Renee Manry, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15396 N 83rd Ave Ste G103, Peoria, AZ 85381 Phone: 925-709-4044 Fax: 925-709-4044 | |
Rheanna Schmidt, LPC Counselor Medicare: Medicare Enrolled Practice Location: 9188 W Davis Rd, Peoria, AZ 85282 Phone: 602-492-5686 | |
Rebecca R Jennings, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14050 N 83rd Ave Ste 290, Peoria, AZ 85381 Phone: 623-276-5385 | |
Mrs. Elisabeth Gayle Davies, MC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9401 W Thunderbird Rd, Suite #183 And Suite #186, Peoria, AZ 85381 Phone: 623-583-2893 Fax: 623-376-9282 | |
Rani R Trent, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13460 N 94th Dr Ste M1, Peoria, AZ 85381 Phone: 623-242-3237 | |
Ronald James Lynch, MC, LPC, LISAC, CSAT Counselor Medicare: Not Enrolled in Medicare Practice Location: 8659 W Lariat Ln, Suite 100, Peoria, AZ 85383 Phone: 623-877-8000 Fax: 623-877-6424 | |
Kerry L. Heath, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 20470 N Lake Pleasant Rd Ste 106, Peoria, AZ 85382 Phone: 623-826-7010 Fax: 866-496-7379 |