| Counselors On Call Llc | |
|
240 S Montezuma St Prescott AZ 86303-4712 | |
| (928) 224-5257 | |
| Not Available |
| Full Name | Counselors On Call Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 240 S Montezuma St, Prescott, Arizona |
| Authorized Official Name and Position | Teri Sebastian (CEO) |
| Authorized Official Contact | 9283085033 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counselors On Call Llc 309 Double D Dr Prescott AZ 86303-5811 Ph: (303) 420-1399 | Counselors On Call Llc 240 S Montezuma St Prescott AZ 86303-4712 Ph: (928) 224-5257 |
| NPI Number | 1013546530 |
|---|---|
| Provider Enumeration Date | 04/06/2020 |
| Last Update Date | 04/06/2020 |
| Certification Date | 04/06/2020 |
| Medicare PECOS PAC ID | 7416496807 |
|---|---|
| Medicare Enrollment ID | O20240829001721 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013546530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Teri Lynn Sebastian |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619588209 PECOS PAC ID: 8325587710 Enrollment ID: I20240903002287 |
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