| Cordes Lakes Clinic | |
|
20172 E Stagecoach Trl Ste B Mayer AZ 86333-2357 | |
| (928) 632-4399 | |
| Not Available |
| Full Name | Cordes Lakes Clinic |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 20172 E Stagecoach Trl Ste B, Mayer, Arizona |
| Authorized Official Name and Position | John S. Gilliam (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4806813450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cordes Lakes Clinic 15029 N Thompson Peak Pkwy Ste B-111 # 438 Scottsdale AZ 85260 Ph: (480) 681-3450 | Cordes Lakes Clinic 20172 E Stagecoach Trl Ste B Mayer AZ 86333-2357 Ph: (928) 632-4399 |
| NPI Number | 1972170322 |
|---|---|
| Provider Enumeration Date | 06/04/2021 |
| Last Update Date | 09/02/2025 |
| Certification Date | 12/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972170322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | () | Secondary |
Bcbh II Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13190 Central Ave, Mayer, AZ 86333 Phone: 928-793-2216 Fax: 602-687-9274 |
Black Canyon Community Health Center, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 17301 E Spring Valley Rd Ste F, Mayer, AZ 86333 Phone: 623-374-0200 Fax: 623-374-5576 |