| More Life Counseling Services, Llc | |
|
5060 N 19th Ave Ste 218 Phoenix AZ 85015-3212 | |
| (602) 750-6043 | |
| Not Available |
| Full Name | More Life Counseling Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 5060 N 19th Ave Ste 218, Phoenix, Arizona |
| Authorized Official Name and Position | Kathryn D Davis-lashley (OWNER) |
| Authorized Official Contact | 6023014647 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| More Life Counseling Services, Llc 1300 S. Watson Rd. A 114 Pmb 256 Buckeye AZ 85326-0112 Ph: (602) 750-6043 | More Life Counseling Services, Llc 5060 N 19th Ave Ste 218 Phoenix AZ 85015-3212 Ph: (602) 750-6043 |
| NPI Number | 1326511718 |
|---|---|
| Provider Enumeration Date | 01/08/2019 |
| Last Update Date | 06/14/2020 |
| Certification Date | 06/14/2020 |
| Medicare PECOS PAC ID | 6507201456 |
|---|---|
| Medicare Enrollment ID | O20240229004627 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326511718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Kathryn D Davis-lashley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134628423 PECOS PAC ID: 7315382264 Enrollment ID: I20240229004641 |
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