The Therapist, Llc | |
2550 W Union Hills Dr Ste 350 Phoenix AZ 85027-5187 | |
(623) 377-0446 | |
(602) 610-6064 |
Full Name | The Therapist, Llc |
---|---|
Speciality | Community/Behavioral Health |
Location | 2550 W Union Hills Dr Ste 350, Phoenix, Arizona |
Authorized Official Name and Position | Jara Dee Bender (OWNER/CLINICIAN) |
Authorized Official Contact | 6028787718 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
The Therapist, Llc 240 S Old Litchfield Rd Unit 222 Litchfield Park AZ 85340-4711 Ph: (623) 377-0446 | The Therapist, Llc 2550 W Union Hills Dr Ste 350 Phoenix AZ 85027-5187 Ph: (623) 377-0446 |
NPI Number | 1386382232 |
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Provider Enumeration Date | 05/20/2022 |
Last Update Date | 02/04/2023 |
Certification Date | 09/16/2022 |
Medicare PECOS PAC ID | 9133505225 |
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Medicare Enrollment ID | O20220927001477 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386382232 | NPI | - | NPPES |
153865 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Jara Dee Bender |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1184126542 PECOS PAC ID: 3072844109 Enrollment ID: I20220927001549 |
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