| Lago Management Inc | |
|
3377 S Price Rd Ste 107 Chandler AZ 85248-3578 | |
| (480) 725-8477 | |
| Not Available |
| Full Name | Lago Management Inc |
|---|---|
| Speciality | Counselor |
| Location | 3377 S Price Rd Ste 107, Chandler, Arizona |
| Authorized Official Name and Position | Gregory Contino (OWNER) |
| Authorized Official Contact | 9786217697 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lago Management Inc 1800 E Yellowstone Pl Chandler AZ 85249-2851 Ph: (978) 621-7697 | Lago Management Inc 3377 S Price Rd Ste 107 Chandler AZ 85248-3578 Ph: (480) 725-8477 |
| NPI Number | 1316652944 |
|---|---|
| Provider Enumeration Date | 01/18/2023 |
| Last Update Date | 01/18/2023 |
| Certification Date | 01/18/2023 |
| Medicare PECOS PAC ID | 0648625913 |
|---|---|
| Medicare Enrollment ID | O20231006002691 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316652944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Ashlee Peterhans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174215081 PECOS PAC ID: 9436517083 Enrollment ID: I20231012003340 |
| Provider Name | Suzanne L Northey |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1861639668 PECOS PAC ID: 3476998105 Enrollment ID: I20240304002066 |
| Provider Name | Elizabeth Worton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053001636 PECOS PAC ID: 2860838349 Enrollment ID: I20240306003127 |
| Provider Name | Shireen A Aghdami |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659957470 PECOS PAC ID: 5092151571 Enrollment ID: I20240306003326 |
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