| Arizona Counseling Services, Llc | |
|
5418 E Skyline Dr Bldg 1 San Tan Valley AZ 85140-9000 | |
| (480) 818-7117 | |
| (480) 987-9252 |
| Full Name | Arizona Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5418 E Skyline Dr Bldg 1, San Tan Valley, Arizona |
| Authorized Official Name and Position | Nicole Lea Lore (OWNER/ THERAPIST) |
| Authorized Official Contact | 4808187117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona Counseling Services, Llc 270 E Hunt Hwy Suite 16, Pmb 144 San Tan Valley AZ 85143-4962 Ph: (480) 818-7117 | Arizona Counseling Services, Llc 5418 E Skyline Dr Bldg 1 San Tan Valley AZ 85140-9000 Ph: (480) 818-7117 |
| NPI Number | 1609142421 |
|---|---|
| Provider Enumeration Date | 03/27/2012 |
| Last Update Date | 03/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609142421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LCSW-12587 (Arizona) | Primary |
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