Alchemy Counseling Pllc | |
2412 W Greenway Rd Ste A2 Phoenix AZ 85023-4135 | |
(602) 842-4388 | |
(888) 972-4886 |
Full Name | Alchemy Counseling Pllc |
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Speciality | Social Worker |
Location | 2412 W Greenway Rd Ste A2, Phoenix, Arizona |
Authorized Official Name and Position | Scott Robert Hooyman (OWNER/LICENSED SOCIAL WORKER) |
Authorized Official Contact | 6028424388 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Alchemy Counseling Pllc Po Box 30231 Phoenix AZ 85046-0231 Ph: (602) 842-4388 | Alchemy Counseling Pllc 2412 W Greenway Rd Ste A2 Phoenix AZ 85023-4135 Ph: (602) 842-4388 |
NPI Number | 1083138697 |
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Provider Enumeration Date | 07/26/2017 |
Last Update Date | 06/20/2019 |
Medicare PECOS PAC ID | 5597035881 |
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Medicare Enrollment ID | O20190623000011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083138697 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW-11715 (Arizona) | Primary |
Provider Name | Scott R Hooyman |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1033386198 PECOS PAC ID: 0143467597 Enrollment ID: I20130502000485 |
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