| Copper Leaf Counseling Llc | |
|
6344 E Broadway Rd Suite 104 Mesa AZ 85206-1634 | |
| (480) 703-7950 | |
| (480) 218-1895 |
| Full Name | Copper Leaf Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 6344 E Broadway Rd, Mesa, Arizona |
| Authorized Official Name and Position | Lisa Marie Edin Browning (MEMBER/MANAGER) |
| Authorized Official Contact | 4807037950 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Copper Leaf Counseling Llc 6344 E Broadway Rd Suite 104 Mesa AZ 85206-1634 Ph: (480) 703-7950 | Copper Leaf Counseling Llc 6344 E Broadway Rd Suite 104 Mesa AZ 85206-1634 Ph: (480) 703-7950 |
| NPI Number | 1871607689 |
|---|---|
| Provider Enumeration Date | 08/18/2006 |
| Last Update Date | 12/04/2007 |
| Medicare PECOS PAC ID | 2567463714 |
|---|---|
| Medicare Enrollment ID | O20070131000017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871607689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW 2409 (Arizona) | Primary |
| Provider Name | Lisa M Browning |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063494318 PECOS PAC ID: 5193756955 Enrollment ID: I20051213000743 |
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