Carrie Mardula, LPC | |
17404 N Javelina Dr, Surprise, AZ 85374-2955 | |
(623) 606-7994 | |
Not Available |
Full Name | Carrie Mardula |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 17404 N Javelina Dr, Surprise, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164177739 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC-20609 (Arizona) | Primary |
Entity Name | Emergent Mental Health Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568177483 PECOS PAC ID: 2769835768 Enrollment ID: O20240228002170 |
Mailing Address | Practice Location Address |
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Carrie Mardula, LPC 17404 N Javelina Dr, Surprise, AZ 85374-2955 Ph: () - | Carrie Mardula, LPC 17404 N Javelina Dr, Surprise, AZ 85374-2955 Ph: (623) 606-7994 |
Jessica Frost, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 18789 N Reems Rd, Surprise, AZ 85374 Phone: 602-434-3069 | |
Mrs. Judith Ann Langreder, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12211 W Bell Rd, 109, Surprise, AZ 85374 Phone: 623-332-6150 Fax: 623-243-6207 | |
Bonnie Ann Den Dooven, MC, LPC, CSAT Counselor Medicare: Not Enrolled in Medicare Practice Location: 15331 W Bell Rd Ste 212, Surprise, AZ 85374 Phone: 928-231-2411 Fax: 928-231-2411 | |
April Lain, M.ED, LISAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15270 W Brookside Ln Ste 121, Surprise, AZ 85374 Phone: 623-432-0668 | |
Christina Joy Van Arsdale, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14239 W Bell Rd Ste 203, Surprise, AZ 85374 Phone: 623-252-4124 | |
Tara Lindsay Looney, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14240 W Boca Raton Rd, Surprise, AZ 85379 Phone: 623-693-8473 | |
Ms. Miranda Blaize Battle, MS, LAC, CTP Counselor Medicare: Not Enrolled in Medicare Practice Location: 12211 W Bell Rd Ste 205, Surprise, AZ 85378 Phone: 623-977-0677 |