| Vista Counseling And Consulting. Llc | |
|
12725 W Indian School Road E-101 Avondale AZ 85392-9502 | |
| (602) 857-9797 | |
| (602) 745-4997 |
| Full Name | Vista Counseling And Consulting. Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 12725 W Indian School Road E-101, Avondale, Arizona |
| Authorized Official Name and Position | Kimberly Snyder (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6028579797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vista Counseling And Consulting. Llc Po Box 284 Litchfield Park AZ 85340-4908 Ph: (602) 857-9797 | Vista Counseling And Consulting. Llc 12725 W Indian School Road E-101 Avondale AZ 85392-9502 Ph: (602) 857-9797 |
| NPI Number | 1346726676 |
|---|---|
| Provider Enumeration Date | 07/19/2018 |
| Last Update Date | 01/18/2021 |
| Certification Date | 01/18/2021 |
| Medicare PECOS PAC ID | 5193061281 |
|---|---|
| Medicare Enrollment ID | O20190110001171 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346726676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Kimberly A Snyder |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1801190624 PECOS PAC ID: 0345586434 Enrollment ID: I20190130002568 |
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