| Mountain Ridge Counseling | |
|
17505 N 79th Ave Suite 213-e Glendale AZ 85308-8725 | |
| (623) 695-4704 | |
| Not Available |
| Full Name | Mountain Ridge Counseling |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 17505 N 79th Ave, Glendale, Arizona |
| Authorized Official Name and Position | Ryan Taylor (OWNER) |
| Authorized Official Contact | 6022281108 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Ridge Counseling 17505 N 79th Ave Suite 213-e Glendale AZ 85308-8725 Ph: (623) 695-4704 | Mountain Ridge Counseling 17505 N 79th Ave Suite 213-e Glendale AZ 85308-8725 Ph: (623) 695-4704 |
| NPI Number | 1194186312 |
|---|---|
| Provider Enumeration Date | 03/16/2016 |
| Last Update Date | 03/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194186312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CSLG7595 (Arizona) | Primary |
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