| Hopscotch Clinical Services, Llc | |
|
51 W Elliot Rd Ste 110 Tempe AZ 85284-1311 | |
| (623) 335-2007 | |
| (833) 704-1908 |
| Full Name | Hopscotch Clinical Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 51 W Elliot Rd Ste 110, Tempe, Arizona |
| Authorized Official Name and Position | Elizabeth Hightower (OWNER/COUNSELOR) |
| Authorized Official Contact | 6028185445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hopscotch Clinical Services, Llc 8400 S Kyrene Rd Ste 225 Tempe AZ 85284-2177 Ph: (623) 335-2007 | Hopscotch Clinical Services, Llc 51 W Elliot Rd Ste 110 Tempe AZ 85284-1311 Ph: (623) 335-2007 |
| NPI Number | 1205577426 |
|---|---|
| Provider Enumeration Date | 04/03/2022 |
| Last Update Date | 02/05/2024 |
| Certification Date | 02/05/2024 |
| Medicare PECOS PAC ID | 4082053525 |
|---|---|
| Medicare Enrollment ID | O20240417002541 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205577426 | NPI | - | NPPES |
| 1912463217 | Other | MENTAL HEALTH COUNSELING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Elizabeth Ann Hightower |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912463217 PECOS PAC ID: 9537508973 Enrollment ID: I20240422001401 |
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