| Beyond The Pines | |
|
4085 S Holland Rd Flagstaff AZ 86005-8924 | |
| (928) 221-8212 | |
| Not Available |
| Full Name | Beyond The Pines |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 4085 S Holland Rd, Flagstaff, Arizona |
| Authorized Official Name and Position | Daniel Phillips (PSYCHOLOGIST, MANAGING PARTNER) |
| Authorized Official Contact | 9282218212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beyond The Pines 606 N Beaver St Flagstaff AZ 86001-3012 Ph: () - | Beyond The Pines 4085 S Holland Rd Flagstaff AZ 86005-8924 Ph: (928) 221-8212 |
| NPI Number | 1194312603 |
|---|---|
| Provider Enumeration Date | 12/30/2020 |
| Last Update Date | 02/08/2021 |
| Certification Date | 02/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194312603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
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