| Innerquest Llc | |
|
12600 N 113th Ave Ste C19 Youngtown AZ 85363-1125 | |
| (480) 650-6241 | |
| Not Available |
| Full Name | Innerquest Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 12600 N 113th Ave Ste C19, Youngtown, Arizona |
| Authorized Official Name and Position | James Main (PRESIDENT) |
| Authorized Official Contact | 4806506241 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innerquest Llc 12600 N 113th Ave Ste C19 Youngtown AZ 85363-1125 Ph: (480) 650-6241 | Innerquest Llc 12600 N 113th Ave Ste C19 Youngtown AZ 85363-1125 Ph: (480) 650-6241 |
| NPI Number | 1437208493 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437208493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC-11368 (Arizona) | Primary |
Connections Christian Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12600 N 113th Ave, C-19, Youngtown, AZ 85363 Phone: 623-584-7800 | |
Engaging Life Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12600 N 113th Ave Ste B9, Youngtown, AZ 85363 Phone: 602-845-0767 Fax: 602-715-0647 |