Laura Medlock, LPC | |
19018 N Carnation Dr, Sun City, AZ 85373-9701 | |
(623) 313-7627 | |
Not Available |
Full Name | Laura Medlock |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 19018 N Carnation Dr, Sun City, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316694136 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC-20660 (Arizona) | Primary |
Entity Name | Mindpath Health Arizona Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821703885 PECOS PAC ID: 7416321872 Enrollment ID: O20230327000408 |
Mailing Address | Practice Location Address |
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Laura Medlock, LPC 19018 N Carnation Dr, Sun City, AZ 85373-9701 Ph: (623) 313-7627 | Laura Medlock, LPC 19018 N Carnation Dr, Sun City, AZ 85373-9701 Ph: (623) 313-7627 |
Mrs. Erica Nicole Trocino, LPC-S, CEDS-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 11811 W Softwind Dr, Sun City, AZ 85373 Phone: 480-406-7476 | |
Seth Herbel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13000 N 103rd Ave Suite 74, Sun City, AZ 85351 Phone: 623-624-8288 | |
Mr. Frank Keller, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9865 W Bell Rd, Sun City, AZ 85351 Phone: 623-876-1246 Fax: 623-933-5463 | |
Ms. Manervia Genette Gentle Wilemon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13000 N 103rd Ave Ste 74, Sun City, AZ 85351 Phone: 623-533-5138 | |
Ada Ruth Nelson, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 18434 N 99th Ave Ste 8, Sun City, AZ 85373 Phone: 623-248-4104 Fax: 623-248-4943 | |
Elizabeth Terry, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12111 W Daley Ln, Sun City, AZ 85373 Phone: 720-329-9449 |