| Sierra Brianne Carroll, | |
|
17215 N 72nd Dr, Glendale, AZ 85308-8558 | |
| (623) 533-4912 | |
| Not Available |
| Full Name | Sierra Brianne Carroll |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 17215 N 72nd Dr, Glendale, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093254237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | 95895 (Texas) | Primary |
| Entity Name | Senior Psychological Care Dallas I Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649566795 PECOS PAC ID: 3375717044 Enrollment ID: O20111114000885 |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra Brianne Carroll, 3646 W Wethersfield Rd, Phoenix, AZ 85029-2126 Ph: (903) 348-0813 | Sierra Brianne Carroll, 17215 N 72nd Dr, Glendale, AZ 85308-8558 Ph: (623) 533-4912 |
Laura Elma Huber, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17505 N 79th Ave, Ste. 311c, Glendale, AZ 85308 Phone: 623-692-4311 | |
Nicole Ann Ujvari, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 5625 W Bell Rd, Glendale, AZ 85308 Phone: 480-653-0167 | |
Elizabeth Molina, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5210 N 62nd Ave, Glendale, AZ 85301 Phone: 623-223-3080 | |
Katherine Marie Hanlon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17235 N 75th Ave Ste F100, Glendale, AZ 85308 Phone: 480-641-1165 | |
Amanda Wild, Counselor Medicare: Not Enrolled in Medicare Practice Location: 18001 N 79th Ave Ste B20, Glendale, AZ 85308 Phone: 480-979-6200 | |
Emily Train, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 17505 N 79th Ave Ste 105, Glendale, AZ 85308 Phone: 602-292-1862 | |
Rachael Gustafson, LAC-T Counselor Medicare: Not Enrolled in Medicare Practice Location: 5800 W Glenn Dr Ste 140, Glendale, AZ 85301 Phone: 480-750-9337 |