| Road To Therapy | |
|
2633 E Indian School Rd Ste 250 Phoenix AZ 85016-0703 | |
| (424) 465-3058 | |
| Not Available |
| Full Name | Road To Therapy |
|---|---|
| Speciality | Social Worker |
| Location | 2633 E Indian School Rd Ste 250, Phoenix, Arizona |
| Authorized Official Name and Position | Sofia Hassid (CLINICIAN) |
| Authorized Official Contact | 4244653058 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Road To Therapy 2401 E Elm St Phoenix AZ 85016-4808 Ph: (424) 465-3058 | Road To Therapy 2633 E Indian School Rd Ste 250 Phoenix AZ 85016-0703 Ph: (424) 465-3058 |
| NPI Number | 1548772684 |
|---|---|
| Provider Enumeration Date | 10/30/2017 |
| Last Update Date | 08/27/2019 |
| Medicare PECOS PAC ID | 6507119005 |
|---|---|
| Medicare Enrollment ID | O20181031000640 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548772684 | NPI | - | NPPES |
| 429932 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 16812 (Arizona) | Primary |
| Provider Name | Caryl Beth Gobel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285923938 PECOS PAC ID: 8325417942 Enrollment ID: I20221202002575 |
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