| Empowering Change Counseling Services, Llc | |
|
6197 S Rural Rd Ste 102 Tempe AZ 85283-2909 | |
| (602) 699-5750 | |
| Not Available |
| Full Name | Empowering Change Counseling Services, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 6197 S Rural Rd Ste 102, Tempe, Arizona |
| Authorized Official Name and Position | Mark Harris (CEO) |
| Authorized Official Contact | 6026995750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowering Change Counseling Services, Llc 6197 S Rural Rd Ste 102 Tempe AZ 85283-2909 Ph: (602) 699-5750 | Empowering Change Counseling Services, Llc 6197 S Rural Rd Ste 102 Tempe AZ 85283-2909 Ph: (602) 699-5750 |
| NPI Number | 1174013254 |
|---|---|
| Provider Enumeration Date | 05/15/2018 |
| Last Update Date | 07/10/2020 |
| Certification Date | 07/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174013254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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