| Monty Shultz Counseling Llc | |
|
141 S Mccormick St Ste 100 Prescott AZ 86303-4730 | |
| (308) 627-4743 | |
| (928) 852-0804 |
| Full Name | Monty Shultz Counseling Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 141 S Mccormick St Ste 100, Prescott, Arizona |
| Authorized Official Name and Position | Monty Ray Shultz (OWNER) |
| Authorized Official Contact | 3086276119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Monty Shultz Counseling Llc 1101 E Elk Trl Prescott AZ 86303-8337 Ph: (308) 627-6119 | Monty Shultz Counseling Llc 141 S Mccormick St Ste 100 Prescott AZ 86303-4730 Ph: (308) 627-4743 |
| NPI Number | 1538941471 |
|---|---|
| Provider Enumeration Date | 10/16/2023 |
| Last Update Date | 10/16/2023 |
| Certification Date | 10/16/2023 |
| Medicare PECOS PAC ID | 2860831484 |
|---|---|
| Medicare Enrollment ID | O20240416001585 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538941471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Monty R Shultz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558691279 PECOS PAC ID: 4385787431 Enrollment ID: I20240416001812 |
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