| Ribbons Of Life Counseling | |
|
4111 E Valley Auto Dr Suite 201d Mesa AZ 85206-4605 | |
| (480) 775-3528 | |
| (480) 813-2987 |
| Full Name | Ribbons Of Life Counseling |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4111 E Valley Auto Dr, Mesa, Arizona |
| Authorized Official Name and Position | Dawn Renee Beatty-taylor (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 4807753528 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ribbons Of Life Counseling 4111 E Valley Auto Dr Suite 201 Mesa AZ 85206-4605 Ph: (480) 775-3528 | Ribbons Of Life Counseling 4111 E Valley Auto Dr Suite 201d Mesa AZ 85206-4605 Ph: (480) 775-3528 |
| NPI Number | 1154447290 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 02/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154447290 | NPI | - | NPPES |
| 896467 | Other | AZ | AHCCCS PROVIDER ID |
| 7434358 | Other | AZ | AETNA PROVIDER ID |
| 760718268 | Other | AZ | MAGELLAN PROVIDER ID |
| 760718268 | Other | AZ | AFMC PROVIDER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC-10886 (Arizona) | Primary |
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