| El Paso Family Mentoring And Counseling Services | |
|
3118 W Thomas Rd Suite 712 Phoenix AZ 85017-5308 | |
| (602) 388-4017 | |
| Not Available |
| Full Name | El Paso Family Mentoring And Counseling Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3118 W Thomas Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Johnnie L Howell (CORPORATE ADMINISTRATOR) |
| Authorized Official Contact | 4056977062 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| El Paso Family Mentoring And Counseling Services 3118 W Thomas Rd Suite 712 Phoenix AZ 85017-5308 Ph: (602) 388-4017 | El Paso Family Mentoring And Counseling Services 3118 W Thomas Rd Suite 712 Phoenix AZ 85017-5308 Ph: (602) 388-4017 |
| NPI Number | 1720512908 |
|---|---|
| Provider Enumeration Date | 04/14/2017 |
| Last Update Date | 04/14/2017 |
| Medicare PECOS PAC ID | 2860767324 |
|---|---|
| Medicare Enrollment ID | O20171009003412 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720512908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Cody Ann Morales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649528720 PECOS PAC ID: 7214202779 Enrollment ID: I20171010000659 |
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