| Therapeutic Consulting Services | |
|
22717 S Ellsworth Rd B-101 Queen Creek AZ 85242-6127 | |
| (480) 258-2915 | |
| (480) 888-0231 |
| Full Name | Therapeutic Consulting Services |
|---|---|
| Speciality | Social Worker |
| Location | 22717 S Ellsworth Rd, Queen Creek, Arizona |
| Authorized Official Name and Position | Pamela Carol Dean (OWNER) |
| Authorized Official Contact | 4802582915 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Consulting Services Po Box 1598 Queen Creek AZ 85242-1598 Ph: (480) 258-2915 | Therapeutic Consulting Services 22717 S Ellsworth Rd B-101 Queen Creek AZ 85242-6127 Ph: (480) 258-2915 |
| NPI Number | 1962651596 |
|---|---|
| Provider Enumeration Date | 09/18/2008 |
| Last Update Date | 09/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962651596 | NPI | - | NPPES |
| Z122647 | Other | MEDICARE PTAN | |
| 752586 | Medicaid | AZ | |
| Z122648 | Other | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | LCSW-2854 (Arizona) | Primary |
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