| Advanced Psychotherapy Llc | |
|
8422 E Shea Blvd Ste 100 Scottsdale AZ 85260-6661 | |
| (480) 463-4461 | |
| Not Available |
| Full Name | Advanced Psychotherapy Llc |
|---|---|
| Speciality | Counselor |
| Location | 8422 E Shea Blvd Ste 100, Scottsdale, Arizona |
| Authorized Official Name and Position | Fatima Covino (CLINICIAN) |
| Authorized Official Contact | 9086925761 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Psychotherapy Llc 22430 N 30th St Phoenix AZ 85050-8424 Ph: (908) 692-5761 | Advanced Psychotherapy Llc 8422 E Shea Blvd Ste 100 Scottsdale AZ 85260-6661 Ph: (480) 463-4461 |
| NPI Number | 1558008334 |
|---|---|
| Provider Enumeration Date | 05/13/2022 |
| Last Update Date | 06/16/2022 |
| Certification Date | 06/16/2022 |
| Medicare PECOS PAC ID | 5395123889 |
|---|---|
| Medicare Enrollment ID | O20220613002017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558008334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Fatima Elia Covino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609933753 PECOS PAC ID: 5092935361 Enrollment ID: I20190805001677 |
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