| Shellby Taylor Mayo, LPC | |
|
2580 Hway 95 Ste 120, Bullhead City, AZ 86442-7328 | |
| (928) 763-7776 | |
| Not Available |
| Full Name | Shellby Taylor Mayo |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 2580 Hway 95 Ste 120, Bullhead City, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750024469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC-20485 (Arizona) | Primary |
| Entity Name | Southwest Behavioral Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144384389 PECOS PAC ID: 9739075854 Enrollment ID: O20040225000948 |
| Mailing Address | Practice Location Address |
|---|---|
| Shellby Taylor Mayo, LPC 2627 Calle De Mercado Apt 10, Bullhead City, AZ 86442-7970 Ph: (928) 542-1598 | Shellby Taylor Mayo, LPC 2580 Hway 95 Ste 120, Bullhead City, AZ 86442-7328 Ph: (928) 763-7776 |
Dr. Rhonda Alsobrook, PSYD, LASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1145 Marina Blvd, Bullhead City, AZ 86442 Phone: 928-758-5905 Fax: 928-758-8790 | |
Ms. Vasantha Munoz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1004 Hancock Rd, Bullhead City, AZ 86442 Phone: 928-758-3961 | |
Mohammed Adem Aliyu, RPH Counselor Medicare: Not Enrolled in Medicare Practice Location: 3699 Hway 95, Bullhead City, AZ 86442 Phone: 928-704-5065 Fax: 928-704-5075 | |
Jonathan Burch, M.A., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3003 Highway 95 Ste 104, Bullhead City, AZ 86442 Phone: 928-763-0250 Fax: 928-763-0271 | |
Mr. Patrick Joseph Osmonson, LISAC, CCTP Counselor Medicare: Not Enrolled in Medicare Practice Location: 3504 Gloria Ave, Bullhead City, AZ 86442 Phone: 928-419-1627 | |
Mrs. Amanda Schwery, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4433 S Via Rialto Ln, Bullhead City, AZ 86426 Phone: 928-444-2481 Fax: 928-219-4527 | |
Mr. Wigberto Moises Coronel, MS. CLINICAL PSYCHOL Counselor Medicare: Not Enrolled in Medicare Practice Location: 1099 Hancock Rd, Bullhead City, AZ 86442 Phone: 928-299-3698 |