| Sierra Therapy Solutions Llc | |
|
1858 Paseo San Luis Ste D Sierra Vista AZ 85635-5825 | |
| (520) 255-1803 | |
| Not Available |
| Full Name | Sierra Therapy Solutions Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1858 Paseo San Luis Ste D, Sierra Vista, Arizona |
| Authorized Official Name and Position | Gail Zacheis Eaton (OWNER) |
| Authorized Official Contact | 5202551803 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra Therapy Solutions Llc 1858 Paseo San Luis Ste D Sierra Vista AZ 85635-5825 Ph: (520) 255-1803 | Sierra Therapy Solutions Llc 1858 Paseo San Luis Ste D Sierra Vista AZ 85635-5825 Ph: (520) 255-1803 |
| NPI Number | 1306254743 |
|---|---|
| Provider Enumeration Date | 07/29/2014 |
| Last Update Date | 07/29/2014 |
| Medicare PECOS PAC ID | 8224256094 |
|---|---|
| Medicare Enrollment ID | O20140820002364 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306254743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW-11342 (Arizona) | Primary |
| Provider Name | Gail Z Eaton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124110473 PECOS PAC ID: 7810928611 Enrollment ID: I20050822000791 |
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