| Pinal Hispanic Council | |
|
556 S Arizona Blvd Coolidge AZ 85128-5106 | |
| (520) 466-7765 | |
| (520) 466-4475 |
| Full Name | Pinal Hispanic Council |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 556 S Arizona Blvd, Coolidge, Arizona |
| Authorized Official Name and Position | Ralph Varela (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5204667765 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinal Hispanic Council Po Box 86537 Tucson AZ 85754-6537 Ph: (520) 721-1887 | Pinal Hispanic Council 556 S Arizona Blvd Coolidge AZ 85128-5106 Ph: (520) 466-7765 |
| NPI Number | 1720185903 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 07/15/2024 |
| Certification Date | 07/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720185903 | NPI | - | NPPES |
| 164567 | Other | AZ | AHCCCS |
| OTC6003 | Other | AZ | ADHS/BMFL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH-889 (Arizona) | Primary |
Coolidge Unified School District Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 N Arizona Blvd, Coolidge, AZ 85128 Phone: 520-723-2065 | |
Bcm Healthcare Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 W Central Ave, Coolidge, AZ 85228 Phone: 602-518-2175 Fax: 623-487-1076 | |
Be Free Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 151 W Central Ave, Coolidge, AZ 85128 Phone: 520-635-5378 | |
Imani Wellness Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 250 W Pinkley Ave, Coolidge, AZ 85128 Phone: 515-419-5096 | |
It Takes A Village Wellness Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 440 N Main St, Coolidge, AZ 85128 Phone: 602-573-5883 | |
Stepping Stone Behavioral Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4732 W Lemon Ave, Coolidge, AZ 85128 Phone: 520-519-9465 |