| Behavioral Consultation Services, Inc. | |
|
1515 E Cedar Ave Ste A-6 Flagstaff AZ 86004-1630 | |
| (800) 771-9889 | |
| (928) 563-0048 |
| Full Name | Behavioral Consultation Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1515 E Cedar Ave Ste A-6, Flagstaff, Arizona |
| Authorized Official Name and Position | Rose Mary Lopez (PRESIDENT AND CEO) |
| Authorized Official Contact | 5207211887 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Consultation Services, Inc. Po Box 86537 Tucson AZ 85754-6537 Ph: (520) 721-1887 | Behavioral Consultation Services, Inc. 1515 E Cedar Ave Ste A-6 Flagstaff AZ 86004-1630 Ph: (800) 771-9889 |
| NPI Number | 1629432380 |
|---|---|
| Provider Enumeration Date | 04/08/2016 |
| Last Update Date | 01/25/2021 |
| Certification Date | 01/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629432380 | NPI | - | NPPES |
| 146544 | Medicaid | AZ | |
| BH6642 | Other | AZ | BUREAU OF MEDICAL FACILITIES LICENSING |
| OTC7929 | Other | AZ | ADHS/BMFL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
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