| Arizona Trauma Counseling Llc | |
|
4111 E Valley Auto Dr Suite 201 Mesa AZ 85206-4605 | |
| (480) 666-5534 | |
| (480) 436-6662 |
| Full Name | Arizona Trauma Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4111 E Valley Auto Dr, Mesa, Arizona |
| Authorized Official Name and Position | Alan Nesbit (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 4806665534 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona Trauma Counseling Llc 4111 E Valley Auto Dr Suite 201 Mesa AZ 85206-4605 Ph: (480) 666-5534 | Arizona Trauma Counseling Llc 4111 E Valley Auto Dr Suite 201 Mesa AZ 85206-4605 Ph: (480) 666-5534 |
| NPI Number | 1205230406 |
|---|---|
| Provider Enumeration Date | 10/16/2014 |
| Last Update Date | 10/16/2014 |
| Medicare PECOS PAC ID | 6608200795 |
|---|---|
| Medicare Enrollment ID | O20191226000153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205230406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 13046 (Arizona) | Primary |
| Provider Name | Alan D Nesbit |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770750697 PECOS PAC ID: 3173762044 Enrollment ID: I20130626000009 |
| Provider Name | Amy Elizabeth Montano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821268053 PECOS PAC ID: 5890043319 Enrollment ID: I20180731002353 |
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