| Tri State Therapy | |
|
9976 S Phoenix Dr Mohave Valley AZ 86440-9565 | |
| (562) 916-5819 | |
| Not Available |
| Full Name | Tri State Therapy |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 9976 S Phoenix Dr, Mohave Valley, Arizona |
| Authorized Official Name and Position | Heidi Danielle Fey (OWNER) |
| Authorized Official Contact | 5629165819 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri State Therapy 908 E Lyndale Dr Tulare CA 93274-2933 Ph: (562) 916-5819 | Tri State Therapy 9976 S Phoenix Dr Mohave Valley AZ 86440-9565 Ph: (562) 916-5819 |
| NPI Number | 1679390108 |
|---|---|
| Provider Enumeration Date | 09/25/2024 |
| Last Update Date | 09/25/2024 |
| Certification Date | 09/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679390108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Fort Mojave Indian Health Center Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1607 Plantation Rd, Mohave Valley, AZ 86440 Phone: 928-346-4679 Fax: 928-346-4686 |