Ms Chantelle Ezinne Okoye, LPC | |
28370 N Gold Ln, San Tan Valley, AZ 85143-6059 | |
(480) 720-3393 | |
Not Available |
Full Name | Ms Chantelle Ezinne Okoye |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 28370 N Gold Ln, San Tan Valley, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740986553 | NPI | - | NPPES |
171379 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | LPC-21227 (Arizona) | Primary |
Entity Name | Family Service Agency |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477597193 PECOS PAC ID: 0446443782 Enrollment ID: O20101019001665 |
Mailing Address | Practice Location Address |
---|---|
Ms Chantelle Ezinne Okoye, LPC 28370 N Gold Ln, San Tan Valley, AZ 85143-6059 Ph: (480) 720-3393 | Ms Chantelle Ezinne Okoye, LPC 28370 N Gold Ln, San Tan Valley, AZ 85143-6059 Ph: (480) 720-3393 |
A'lisa Roberts, Counselor Medicare: Not Enrolled in Medicare Practice Location: 36275 N Gantzel Rd Ste 102, San Tan Valley, AZ 85140 Phone: 480-590-7147 | |
Ms. Jamie Marie Faraone, LAAC, AADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 28247 N Silver Ln, San Tan Valley, AZ 85143 Phone: 480-766-8277 | |
Kaitlynn Hill, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4523 E Italian Trotter Rd, San Tan Valley, AZ 85140 Phone: 757-648-9990 | |
Kenna Suzanne Chesney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 39515 N George Ave, San Tan Valley, AZ 85140 Phone: 602-301-0796 | |
Brandon Arthur Moak, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2474 E Hunt Hwy # 100, San Tan Valley, AZ 85143 Phone: 480-784-1514 | |
Amber K Twigg, MC, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 37121 N Campolina Rd, San Tan Valley, AZ 85140 Phone: 503-707-6861 | |
Anthony Marcilous Thompson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 29473 N Candlewood Dr, San Tan Valley, AZ 85143 Phone: 623-455-2280 |