Equity Mental Health, Llc | |
3100 W Ray Rd Ste 201 Chandler AZ 85226-2472 | |
(480) 229-8839 | |
Not Available |
Full Name | Equity Mental Health, Llc |
---|---|
Speciality | Social Worker |
Location | 3100 W Ray Rd Ste 201, Chandler, Arizona |
Authorized Official Name and Position | Mary Catherine Horton (COUNSELOR/OWNER) |
Authorized Official Contact | 4802298839 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Equity Mental Health, Llc 3100 W Ray Rd Ste 201 Chandler AZ 85226-2472 Ph: (480) 229-8839 | Equity Mental Health, Llc 3100 W Ray Rd Ste 201 Chandler AZ 85226-2472 Ph: (480) 229-8839 |
NPI Number | 1285331116 |
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Provider Enumeration Date | 02/10/2023 |
Last Update Date | 02/23/2023 |
Certification Date | 02/23/2023 |
Medicare PECOS PAC ID | 5294109716 |
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Medicare Enrollment ID | O20230324001325 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285331116 | NPI | - | NPPES |
085685 | Medicaid | AZ | |
533805 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Mary C Horton |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1538278221 PECOS PAC ID: 4183810195 Enrollment ID: I20101201001162 |
Provider Name | Kelly Bucher |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1639673825 PECOS PAC ID: 7214342070 Enrollment ID: I20210209001990 |
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