| Ms Ruth E Zum Mallen, MA LPC NCC | |
|
8 E Cottonwood St, Cottonwood, AZ 86326-4382 | |
| (928) 634-2236 | |
| (928) 634-8960 |
| Full Name | Ms Ruth E Zum Mallen |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 8 E Cottonwood St, Cottonwood, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356309488 | NPI | - | NPPES |
| 809907 | Other | AZ | AHCCCS PROVIDER ID |
| 66218 | Other | NBCC | |
| LPC-10819 | Other | AZ | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC-10819 (Arizona) | Primary |
| Entity Name | Southwest Behavioral Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144384389 PECOS PAC ID: 9739075854 Enrollment ID: O20040225000948 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Ruth E Zum Mallen, MA LPC NCC 1588 Carpenter Ln, Cottonwood, AZ 86326-5061 Ph: () - | Ms Ruth E Zum Mallen, MA LPC NCC 8 E Cottonwood St, Cottonwood, AZ 86326-4382 Ph: (928) 634-2236 |
Kyria Aiyana Arasim, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 E Cottonwood St, Cottonwood, AZ 86326 Phone: 877-634-7333 | |
Ms. Shirley Jane Isaacson, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 753 N Main St # 3, Box#3, Cottonwood, AZ 86326 Phone: 928-646-5741 | |
Mary Winds, LISAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 E Cottonwood St, Cottonwood, AZ 86326 Phone: 928-634-2236 Fax: 928-634-8960 | |
Dorrie J Crosby, LISAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 E Cottonwood St, Cottonwood, AZ 86326 Phone: 928-634-2236 Fax: 928-634-8960 | |
Gwen Griffin, LISAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 E Cottonwood St, Cottonwood, AZ 86326 Phone: 928-634-2236 Fax: 928-634-8960 | |
Mrs. Martha Manning Horton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 E Cottonwood St, Cottonwood, AZ 86326 Phone: 928-634-2236 | |
Ms. Jane Elizabeth Robinson, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 E Cottonwood St, Cottonwood, AZ 86326 Phone: 877-634-7333 |