Vail Counseling Llc | |
14600 E Colossal Cave Rd Vail AZ 85641-6173 | |
(520) 474-5574 | |
Not Available |
Full Name | Vail Counseling Llc |
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Speciality | Social Worker |
Location | 14600 E Colossal Cave Rd, Vail, Arizona |
Authorized Official Name and Position | Anna Steele (OWNER) |
Authorized Official Contact | 5204745574 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Vail Counseling Llc 10792 S Black Cactus Trl Vail AZ 85641-6463 Ph: (520) 474-5574 | Vail Counseling Llc 14600 E Colossal Cave Rd Vail AZ 85641-6173 Ph: (520) 474-5574 |
NPI Number | 1013362474 |
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Provider Enumeration Date | 05/04/2016 |
Last Update Date | 05/04/2016 |
Medicare PECOS PAC ID | 4789970856 |
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Medicare Enrollment ID | O20160915002550 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013362474 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW-16051 (Arizona) | Primary |
Provider Name | Anna J Steele |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1588056543 PECOS PAC ID: 5698061760 Enrollment ID: I20160915002713 |
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