Timothy Haines, LPC | |
10032 E Southern Ave, Mesa, AZ 85209-2759 | |
(480) 351-2850 | |
Not Available |
Full Name | Timothy Haines |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 10032 E Southern Ave, Mesa, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497813638 | NPI | - | NPPES |
779720 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LPC-1661 (Arizona) | Primary |
Entity Name | Sun Life Family Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891913166 PECOS PAC ID: 9335032275 Enrollment ID: O20040205000085 |
Mailing Address | Practice Location Address |
---|---|
Timothy Haines, LPC Po Box 10097, Casa Grande, AZ 85130-0020 Ph: (520) 836-3446 | Timothy Haines, LPC 10032 E Southern Ave, Mesa, AZ 85209-2759 Ph: (480) 351-2850 |
Megan Feeney, MAFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4250 N. Florian Ave Bldg 1, Mesa, AZ 85206 Phone: 480-969-3800 Fax: 480-644-1557 | |
Elbert Farmer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 32 S Macdonald, Mesa, AZ 85210 Phone: 480-696-1471 Fax: 480-264-0687 | |
Dr. Ronald Earl Clark, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3846 E Dartmouth St, Mesa, AZ 85205 Phone: 480-229-1722 | |
Dr. Lisa Loree Gold, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 6106 E Brown Rd, Suite #102, Mesa, AZ 85205 Phone: 602-550-9393 | |
Mrs. Tracy Kerr Carson, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1830 S Alma School Rd, Suite 112, Mesa, AZ 85210 Phone: 480-730-6222 | |
Roban Kubic, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1845 S Dobson Rd, Suite 104, Mesa, AZ 85202 Phone: 480-403-1651 Fax: 480-874-3767 | |
Eric Felber, M.A., LPC Counselor Medicare: Medicare Enrolled Practice Location: 2204 S Dobson Rd Ste 102, Mesa, AZ 85202 Phone: 602-230-7373 Fax: 480-628-8577 |