| Tucson Counseling Pllc | |
|
1500 N Wilmot Rd Ste A200 Tucson AZ 85712-4416 | |
| (520) 873-8562 | |
| (888) 851-7021 |
| Full Name | Tucson Counseling Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1500 N Wilmot Rd Ste A200, Tucson, Arizona |
| Authorized Official Name and Position | Elena Malofeeva (CLINICAL DIRECTOR) |
| Authorized Official Contact | 5208738562 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tucson Counseling Pllc 1500 N Wilmot Rd Ste A200 Tucson AZ 85712-4416 Ph: (520) 873-8562 | Tucson Counseling Pllc 1500 N Wilmot Rd Ste A200 Tucson AZ 85712-4416 Ph: (520) 873-8562 |
| NPI Number | 1740529460 |
|---|---|
| Provider Enumeration Date | 02/01/2013 |
| Last Update Date | 03/30/2021 |
| Certification Date | 03/30/2021 |
| Medicare PECOS PAC ID | 5991950230 |
|---|---|
| Medicare Enrollment ID | O20130312000499 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740529460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4333 (Arizona) | Primary |
| Provider Name | Barbara Mintier Pease |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740389063 PECOS PAC ID: 3971500992 Enrollment ID: I20061103000156 |
| Provider Name | Elena Malofeeva |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588820906 PECOS PAC ID: 8325105067 Enrollment ID: I20130312000503 |
| Provider Name | William S Brubaker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780069047 PECOS PAC ID: 5799687430 Enrollment ID: I20150916002017 |
| Provider Name | Dorothy A Bowring |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518192863 PECOS PAC ID: 9335284504 Enrollment ID: I20171011001832 |
| Provider Name | Luis Lerma |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053659029 PECOS PAC ID: 2365784303 Enrollment ID: I20190423002702 |
| Provider Name | Ryan Matthew Schulz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922365121 PECOS PAC ID: 6507191384 Enrollment ID: I20190716003308 |
| Provider Name | Michael James Wagner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013154293 PECOS PAC ID: 6608104245 Enrollment ID: I20190821001498 |
| Provider Name | Jennifer Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568808939 PECOS PAC ID: 0840610614 Enrollment ID: I20210723002013 |
| Provider Name | Stella G Roman Santos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043642549 PECOS PAC ID: 8527379635 Enrollment ID: I20220214001603 |
| Provider Name | Danielle D Younge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649631664 PECOS PAC ID: 8820332083 Enrollment ID: I20230419002968 |
| Provider Name | Collins Iyamah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366118671 PECOS PAC ID: 7517123599 Enrollment ID: I20230519000449 |
| Provider Name | Erin Nicole Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750892956 PECOS PAC ID: 7810348471 Enrollment ID: I20240108004290 |
| Provider Name | Monica Christina Neal |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255050100 PECOS PAC ID: 8628420072 Enrollment ID: I20240122001390 |
| Provider Name | Mary Deborah Giles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629361100 PECOS PAC ID: 2062865629 Enrollment ID: I20240130003327 |
| Provider Name | Pamela Jo Robinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184190092 PECOS PAC ID: 0345686267 Enrollment ID: I20240313002143 |
| Provider Name | Rahul K. Sivaprasad |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1598919938 PECOS PAC ID: 8325484017 Enrollment ID: I20240317000051 |
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