| Intercessory Counseling & Wellness, Pllc | |
|
7121 W Bell Rd Ste 115 Glendale AZ 85308-8555 | |
| (602) 599-2000 | |
| (602) 599-2009 |
| Full Name | Intercessory Counseling & Wellness, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 7121 W Bell Rd Ste 115, Glendale, Arizona |
| Authorized Official Name and Position | Michael Rayes (OWNER) |
| Authorized Official Contact | 6025992000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Intercessory Counseling & Wellness, Pllc 7121 W Bell Rd Ste 115 Glendale AZ 85308-8555 Ph: (602) 599-2000 | Intercessory Counseling & Wellness, Pllc 7121 W Bell Rd Ste 115 Glendale AZ 85308-8555 Ph: (602) 599-2000 |
| NPI Number | 1447753876 |
|---|---|
| Provider Enumeration Date | 03/12/2018 |
| Last Update Date | 07/12/2024 |
| Certification Date | 07/12/2024 |
| Medicare PECOS PAC ID | 0042661779 |
|---|---|
| Medicare Enrollment ID | O20240108000881 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447753876 | NPI | - | NPPES |
| 418298 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LISAC-15078 (Arizona) | Secondary |
| 101YP2500X | Counselor - Professional | LPC-17155 (Arizona) | Primary |
| Provider Name | Michael J Rayes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629409289 PECOS PAC ID: 1951752682 Enrollment ID: I20240109002371 |
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