| Nicole Rogers, LISAC | |
|
3222 N 37th St, Phoenix, AZ 85018-6304 | |
| (602) 599-5554 | |
| (602) 599-5854 |
| Full Name | Nicole Rogers |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 12 Years |
| Location | 3222 N 37th St, Phoenix, Arizona |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265838890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| Entity Name | Mavie LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366270365 PECOS PAC ID: 8325588809 Enrollment ID: O20240923003134 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Rogers, LISAC 3710 W Greenway Rd Ste 104, Phoenix, AZ 85053-3729 Ph: (602) 466-2036 | Nicole Rogers, LISAC 3222 N 37th St, Phoenix, AZ 85018-6304 Ph: (602) 599-5554 |
Ms. Martha White, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3306 W Catalina Dr, Phoenix, AZ 85017 Phone: 602-353-0703 Fax: 602-353-0715 |
Philip Lee Mcdonald, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1648 S 16th St, Phoenix, AZ 85034 Phone: 714-235-1970 |
Melinda Chapin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3640 W Osborn Rd, Phoenix, AZ 85019 Phone: 602-269-5300 Fax: 602-269-5380 |
Beverly Seyler, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 4525 E Saint Anne Ave, Phoenix, AZ 85042 Phone: 602-431-6685 |
Mrs. Virginia Joyce Gatson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1110 E Mcdowell Rd, Phoenix, AZ 85006 Phone: 602-685-1940 Fax: 602-685-1944 |
Yesenia C. Ramirez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4539 N 22nd St # 8281, Phoenix, AZ 85016 Phone: 480-744-2006 Fax: 480-744-2006 |
Mrs. Christine Daudier, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 10046 N Metro Pkwy W, Phoenix, AZ 85051 Phone: 844-646-3247 |