| Integrated Counseling Services, Pllc | |
|
1450 S South St Ste 2 Globe AZ 85501-1473 | |
| (928) 402-0013 | |
| (928) 402-0015 |
| Full Name | Integrated Counseling Services, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1450 S South St Ste 2, Globe, Arizona |
| Authorized Official Name and Position | David L Rice (C.O.O.) |
| Authorized Official Contact | 9284020013 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Counseling Services, Pllc 1450 S South St Ste 2 Globe AZ 85501-1473 Ph: (928) 402-0013 | Integrated Counseling Services, Pllc 1450 S South St Ste 2 Globe AZ 85501-1473 Ph: (928) 402-0013 |
| NPI Number | 1437281706 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437281706 | NPI | - | NPPES |
| 177322 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC11250 (Arizona) | Primary |
| 101YP2500X | Counselor - Professional | LPC10631 (Arizona) | Secondary |
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