| Regal Counseling Pllc | |
|
2155 W Pinnacle Peak Rd Ste 201 Phoenix AZ 85027-1203 | |
| (602) 318-1200 | |
| Not Available |
| Full Name | Regal Counseling Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 2155 W Pinnacle Peak Rd Ste 201, Phoenix, Arizona |
| Authorized Official Name and Position | Gerda Phillips (OWNER) |
| Authorized Official Contact | 6023181200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Regal Counseling Pllc 2155 W Pinnacle Peak Rd Ste 201 Phoenix AZ 85027-1203 Ph: (602) 318-1200 | Regal Counseling Pllc 2155 W Pinnacle Peak Rd Ste 201 Phoenix AZ 85027-1203 Ph: (602) 318-1200 |
| NPI Number | 1134615107 |
|---|---|
| Provider Enumeration Date | 07/02/2018 |
| Last Update Date | 07/02/2018 |
| Medicare PECOS PAC ID | 5193066959 |
|---|---|
| Medicare Enrollment ID | O20191121001874 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134615107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Gerda M Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104327568 PECOS PAC ID: 8628319480 Enrollment ID: I20191121002169 |
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