| Tucson Counseling Associates, Llc | |
|
125 E Mabel St Tucson AZ 85705-6654 | |
| (520) 873-8633 | |
| Not Available |
| Full Name | Tucson Counseling Associates, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 125 E Mabel St, Tucson, Arizona |
| Authorized Official Name and Position | Katherine Kincaid (OWNER) |
| Authorized Official Contact | 5208738633 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tucson Counseling Associates, Llc 125 E Mabel St Tucson AZ 85705-6654 Ph: () - | Tucson Counseling Associates, Llc 125 E Mabel St Tucson AZ 85705-6654 Ph: (520) 873-8633 |
| NPI Number | 1013545144 |
|---|---|
| Provider Enumeration Date | 04/01/2020 |
| Last Update Date | 04/01/2022 |
| Certification Date | 04/01/2022 |
| Medicare PECOS PAC ID | 9032500285 |
|---|---|
| Medicare Enrollment ID | O20211222001237 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013545144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Janay R Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871014241 PECOS PAC ID: 0547535080 Enrollment ID: I20171009002072 |
| Provider Name | Maureen J Milazzo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194327114 PECOS PAC ID: 6305236209 Enrollment ID: I20211208002695 |
| Provider Name | Irene C Mayfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629651039 PECOS PAC ID: 9133512916 Enrollment ID: I20220201000431 |
| Provider Name | Katherine J Kincaid |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1689094575 PECOS PAC ID: 7113318361 Enrollment ID: I20240223002701 |
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