| Traumacare Institute, Pllc | |
|
61 West Center Street Snowflake AZ 85937 | |
| (480) 510-6780 | |
| Not Available |
| Full Name | Traumacare Institute, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 61 West Center Street, Snowflake, Arizona |
| Authorized Official Name and Position | Michael Shane Luck (OWNER/MANAGER) |
| Authorized Official Contact | 4805106780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Traumacare Institute, Pllc 2638 Old Schoolhouse Road Show Low AZ 85901 Ph: (480) 510-6780 | Traumacare Institute, Pllc 61 West Center Street Snowflake AZ 85937 Ph: (480) 510-6780 |
| NPI Number | 1275990368 |
|---|---|
| Provider Enumeration Date | 01/21/2016 |
| Last Update Date | 01/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275990368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC-15864 (Arizona) | Primary |
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