| Shawna Eisendrath, Lcsw | |
|
3640 Highway 95 Ste 120 Bullhead City AZ 86442-4336 | |
| (928) 862-8689 | |
| Not Available |
| Full Name | Shawna Eisendrath, Lcsw |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 3640 Highway 95 Ste 120, Bullhead City, Arizona |
| Authorized Official Name and Position | Shawna Eisendrath (LICENSE CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 9288628689 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shawna Eisendrath, Lcsw 1959 E Desert Dr Fort Mohave AZ 86426-8802 Ph: (928) 862-8689 | Shawna Eisendrath, Lcsw 3640 Highway 95 Ste 120 Bullhead City AZ 86442-4336 Ph: (928) 862-8689 |
| NPI Number | 1134908015 |
|---|---|
| Provider Enumeration Date | 09/28/2023 |
| Last Update Date | 09/28/2023 |
| Certification Date | 09/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134908015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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