| Sonoran Life Solutions, Inc. | |
|
13460 N 94th Dr K-3 Peoria AZ 85381-4835 | |
| (623) 974-3333 | |
| (623) 974-3390 |
| Full Name | Sonoran Life Solutions, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 13460 N 94th Dr, Peoria, Arizona |
| Authorized Official Name and Position | Valerie Alyse Girod (THERAPIST/PRESIDENT) |
| Authorized Official Contact | 1623974333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sonoran Life Solutions, Inc. 13460 N 94th Dr K-3 Peoria AZ 85381-4835 Ph: (623) 974-3333 | Sonoran Life Solutions, Inc. 13460 N 94th Dr K-3 Peoria AZ 85381-4835 Ph: (623) 974-3333 |
| NPI Number | 1912155367 |
|---|---|
| Provider Enumeration Date | 08/28/2008 |
| Last Update Date | 08/28/2008 |
| Medicare PECOS PAC ID | 9931387792 |
|---|---|
| Medicare Enrollment ID | O20110625000001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912155367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC2537 (Arizona) | Primary |
| Provider Name | Rosemarie T Higgins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790899276 PECOS PAC ID: 2668367798 Enrollment ID: I20040218000377 |
| Provider Name | Celeste A Morin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508014291 PECOS PAC ID: 7810163326 Enrollment ID: I20120105000278 |
| Provider Name | Adena S Ray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992857304 PECOS PAC ID: 1759508567 Enrollment ID: I20140818002237 |
| Provider Name | Karyn A Mackenzie Fajardo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154445062 PECOS PAC ID: 6002176294 Enrollment ID: I20180208000695 |
| Provider Name | Melissa M Eastep |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548614852 PECOS PAC ID: 6002176138 Enrollment ID: I20180208003021 |
| Provider Name | Monica M Seiger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568539757 PECOS PAC ID: 0345335238 Enrollment ID: I20180302001876 |
| Provider Name | Jeana Dale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366636250 PECOS PAC ID: 6305179052 Enrollment ID: I20190611003640 |
| Provider Name | Nancy Christine Flanagan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922690890 PECOS PAC ID: 4284049578 Enrollment ID: I20210218002275 |
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