| Taylor Paulino, LPC | |
|
235 W Western Ave, Avondale, AZ 85323-1848 | |
| (602) 230-7373 | |
| (602) 230-3086 |
| Full Name | Taylor Paulino |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 235 W Western Ave, Avondale, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154064020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | LAC-19111 (Arizona) | Secondary |
| 101YP2500X | Counselor - Professional | LPC-21811 (Arizona) | Primary |
| Entity Name | Denova Collaborative Health, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609300854 PECOS PAC ID: 2466437736 Enrollment ID: O20040621001542 |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor Paulino, LPC 3101 N Central Ave Ste 550, Phoenix, AZ 85012-2635 Ph: (602) 230-7373 | Taylor Paulino, LPC 235 W Western Ave, Avondale, AZ 85323-1848 Ph: (602) 230-7373 |
Ms. Margaret Frances Bauman, LISAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10320 W Mcdowell Rd, Ste. G-7024, Avondale, AZ 85392 Phone: 602-258-6797 Fax: 623-936-4085 | |
Dominiqiue Janay Jenkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10320 W Mcdowell Rd Ste 7022, Avondale, AZ 85392 Phone: 623-215-8189 | |
Christiana Hines, Counselor Medicare: Medicare Enrolled Practice Location: 950 E Van Buren St, Avondale, AZ 85323 Phone: 623-687-1199 | |
Jessie Finocchi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10320 W Mcdowell Rd, Avondale, AZ 85392 Phone: 480-641-1165 | |
Andraya Rhinehart, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10320 W Mcdowell Rd Ste 7022, Avondale, AZ 85392 Phone: 623-304-8316 | |
Erin Hammit, LPC Counselor Medicare: Medicare Enrolled Practice Location: 235 W Western Ave, Avondale, AZ 85323 Phone: 602-230-7373 Fax: 602-230-3086 | |
Taylor Lynea Snyder, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10320 W Mcdowell Rd, Avondale, AZ 85392 Phone: 480-641-1165 |