| Phoenix Interfaith Counseling | |
|
4201 N 16th St Ste 250 Phoenix AZ 85016-5375 | |
| (602) 532-0777 | |
| (602) 532-0999 |
| Full Name | Phoenix Interfaith Counseling |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4201 N 16th St Ste 250, Phoenix, Arizona |
| Authorized Official Name and Position | Nancy J Eldridge (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 6025320777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Interfaith Counseling 555 W Glendale Ave Phoenix AZ 85021-8763 Ph: (602) 532-0777 | Phoenix Interfaith Counseling 4201 N 16th St Ste 250 Phoenix AZ 85016-5375 Ph: (602) 532-0777 |
| NPI Number | 1225237340 |
|---|---|
| Provider Enumeration Date | 07/18/2007 |
| Last Update Date | 07/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225237340 | NPI | - | NPPES |
| 948458 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH2448 (Arizona) | Primary |
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