| Child Trauma Counseling Services, Llc | |
|
2333 N Pebble Creek Pkwy Ste A200 Goodyear AZ 85395-9046 | |
| (623) 521-9043 | |
| Not Available |
| Full Name | Child Trauma Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2333 N Pebble Creek Pkwy Ste A200, Goodyear, Arizona |
| Authorized Official Name and Position | Samantha B. White (OWNER) |
| Authorized Official Contact | 6235219043 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child Trauma Counseling Services, Llc 2597 N 141st Ln Goodyear AZ 85395-2495 Ph: (623) 521-9043 | Child Trauma Counseling Services, Llc 2333 N Pebble Creek Pkwy Ste A200 Goodyear AZ 85395-9046 Ph: (623) 521-9043 |
| NPI Number | 1851762330 |
|---|---|
| Provider Enumeration Date | 10/09/2015 |
| Last Update Date | 10/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851762330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC13958 (Arizona) | Primary |
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