| Mingus Mountain Academy | |
|
8349 East Spouse Drive Suite B Prescott Valley AZ 86314 | |
| (602) 335-3000 | |
| Not Available |
| Full Name | Mingus Mountain Academy |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8349 East Spouse Drive, Prescott Valley, Arizona |
| Authorized Official Name and Position | Chris Banken (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6023352000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mingus Mountain Academy Po Box 26485 Prescott Valley AZ 86312-6485 Ph: (602) 335-2000 | Mingus Mountain Academy 8349 East Spouse Drive Suite B Prescott Valley AZ 86314 Ph: (602) 335-3000 |
| NPI Number | 1942347034 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942347034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | BH-2839 (Arizona) | Primary |
| 251S00000X | Community/behavioral Health | BH 2839 (Arizona) | Primary |
Professional Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8183 E Florentine Rd, Suite B, Prescott Valley, AZ 86314 Phone: 928-772-3499 Fax: 928-772-3491 | |
Spectrum Healthcare Group, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3274 Bob Dr, Prescott Valley, AZ 86314 Phone: 877-634-7333 Fax: 866-984-3891 | |
Polara Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3347 N Windsong Dr, Prescott Valley, AZ 86314 Phone: 928-583-6411 Fax: 928-775-9231 | |
Aslanian Counseling Services Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2825 N Glassford Hill Rd Ste B, Prescott Valley, AZ 86314 Phone: 928-421-2385 | |
Sequelcare Of Arizona, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8603 E Eastridge Rd, Prescott Valley, AZ 86314 Phone: 928-777-3280 | |
Best Care Behavioral Homes Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5385 W Saddleback Drive, Prescott Valley, AZ 86314 Phone: 928-793-2216 Fax: 602-675-1703 | |
Polara Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8655 E Eastridge Rd Ste A, Prescott Valley, AZ 86314 Phone: 928-445-5211 Fax: 928-772-1801 |