| Helping Handz Counseling Services-outpatient Treatment Cent | |
|
3930 N 30th Ave Phoenix AZ 85017-4607 | |
| (623) 401-2620 | |
| (480) 781-4566 |
| Full Name | Helping Handz Counseling Services-outpatient Treatment Cent |
|---|---|
| Speciality | Clinic/Center |
| Location | 3930 N 30th Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Tonia L Williams (CEO/ADMIISTRATOR) |
| Authorized Official Contact | 6024008242 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Helping Handz Counseling Services-outpatient Treatment Cent 7141 W Carter Rd Laveen AZ 85339-7059 Ph: (623) 322-6143 | Helping Handz Counseling Services-outpatient Treatment Cent 3930 N 30th Ave Phoenix AZ 85017-4607 Ph: (623) 401-2620 |
| NPI Number | 1891395604 |
|---|---|
| Provider Enumeration Date | 10/30/2020 |
| Last Update Date | 12/08/2023 |
| Certification Date | 12/08/2023 |
| Medicare PECOS PAC ID | 5092161174 |
|---|---|
| Medicare Enrollment ID | O20231025002815 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891395604 | NPI | - | NPPES |
| OTC10460 | Other | AZ | ARIZONA DEPARTMENT OF HEALTH |
| BH6331 | Other | AZ | ARIZONA DEPARTMENT OF HEALTH |
| 1659918282 | Other | AZ | STACEY M STEVENS, FNP-C |
| 1518567254 | Other | AZ | ARRIAM MELES, CASE MANAGER |
| 1811087538 | Other | AZ | DR RAUL J RODRIGUEZ-SORA |
| 1811597552 | Other | AZ | DEANHA M ROMERO, LPC |
| 1952022162 | Other | AZ | JAMESRIA HARRIS, LAC |
| 091903 | Medicaid | AZ |
| Provider Name | Raul J Rodriguez Sora |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811097538 PECOS PAC ID: 2961420088 Enrollment ID: I20051108000186 |
| Provider Name | Stacey Marie Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659918282 PECOS PAC ID: 0143655910 Enrollment ID: I20200124001639 |
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