| Elante Counseling Center | |
|
6280 E Pima St Tucson AZ 85712-3074 | |
| (520) 722-9155 | |
| (520) 722-0500 |
| Full Name | Elante Counseling Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6280 E Pima St, Tucson, Arizona |
| Authorized Official Name and Position | Stephanie Oliver (CHIEF QUALITY MANAGEMENT OFFICER) |
| Authorized Official Contact | 5206283400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elante Counseling Center 2700 S 8th Ave Tucson AZ 85713-4730 Ph: (520) 628-3400 | Elante Counseling Center 6280 E Pima St Tucson AZ 85712-3074 Ph: (520) 722-9155 |
| NPI Number | 1235412867 |
|---|---|
| Provider Enumeration Date | 09/20/2011 |
| Last Update Date | 08/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235412867 | NPI | - | NPPES |
| 848949 | Medicaid | AZ | |
| OTC6596 | Other | AZ | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | OTC6596 (Arizona) | Primary |
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