| Cranes For Change Corp | |
|
5980 S Cooper Rd Ste 4 Chandler AZ 85249-5394 | |
| (480) 704-3474 | |
| Not Available |
| Full Name | Cranes For Change Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 5980 S Cooper Rd Ste 4, Chandler, Arizona |
| Authorized Official Name and Position | Lynsey Valdez (MANAGER) |
| Authorized Official Contact | 4807057300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cranes For Change Corp 5980 S Cooper Rd Ste 4 Chandler AZ 85249-5394 Ph: (480) 704-3474 | Cranes For Change Corp 5980 S Cooper Rd Ste 4 Chandler AZ 85249-5394 Ph: (480) 704-3474 |
| NPI Number | 1760251169 |
|---|---|
| Provider Enumeration Date | 12/27/2023 |
| Last Update Date | 11/04/2024 |
| Certification Date | 11/04/2024 |
| Medicare PECOS PAC ID | 7012441546 |
|---|---|
| Medicare Enrollment ID | O20241106003244 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760251169 | NPI | - | NPPES |
| Provider Name | Tiffany Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699141085 PECOS PAC ID: 5395121420 Enrollment ID: I20220927003028 |
| Provider Name | Marion Crisostomo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558134353 PECOS PAC ID: 4981052917 Enrollment ID: I20231130002483 |
| Provider Name | Danica Brazaitis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598387912 PECOS PAC ID: 1355792698 Enrollment ID: I20240110004543 |
| Provider Name | Stephanie Elizabeth Quist |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255916748 PECOS PAC ID: 9032651922 Enrollment ID: I20240606002993 |
| Provider Name | Katherine Oakenshield |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1598418352 PECOS PAC ID: 1456886118 Enrollment ID: I20241119001792 |
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