| Lion Clinical Services Llc | |
|
2872 Esmerelda Dr Bullhead City AZ 86429-1124 | |
| (805) 612-7127 | |
| Not Available |
| Full Name | Lion Clinical Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2872 Esmerelda Dr, Bullhead City, Arizona |
| Authorized Official Name and Position | Joseph Crouch (CEO) |
| Authorized Official Contact | 8056127127 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lion Clinical Services Llc 2872 Esmerelda Dr Bullhead City AZ 86429-1124 Ph: (805) 612-7127 | Lion Clinical Services Llc 2872 Esmerelda Dr Bullhead City AZ 86429-1124 Ph: (805) 612-7127 |
| NPI Number | 1548017445 |
|---|---|
| Provider Enumeration Date | 04/30/2024 |
| Last Update Date | 04/30/2024 |
| Medicare PECOS PAC ID | 3678005675 |
|---|---|
| Medicare Enrollment ID | O20241015004263 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548017445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Joseph Crouch |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1043886682 PECOS PAC ID: 4587196589 Enrollment ID: I20241015004301 |
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