| Cathexis Tucson, Llc | |
| 
					6280 E Pima St Ste 100 Tucson AZ 85712-3074  | |
| (520) 271-0628 | |
| Not Available | 
| Full Name | Cathexis Tucson, Llc | 
|---|---|
| Speciality | Counselor | 
| Location | 6280 E Pima St Ste 100, Tucson, Arizona | 
| Authorized Official Name and Position | Susie Mills (CHIEF ADMINISTRATIVE OFFICER) | 
| Authorized Official Contact | 5202710628 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Cathexis Tucson, Llc 6280 E Pima St Ste 100 Tucson AZ 85712-3074 Ph: () -  | Cathexis Tucson, Llc 6280 E Pima St Ste 100 Tucson AZ 85712-3074 Ph: (520) 271-0628  | 
| NPI Number | 1558808543 | 
|---|---|
| Provider Enumeration Date | 01/27/2017 | 
| Last Update Date | 10/01/2019 | 
| Medicare PECOS PAC ID | 6800154543 | 
|---|---|
| Medicare Enrollment ID | O20171229000841 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1558808543 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CSLG7620 (Arizona) | Secondary | 
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary | 
| Provider Name | Stephane Christian Ackermann | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1093357253 PECOS PAC ID: 0244758696 Enrollment ID: I20250519003227  | 
| Provider Name | Timothy Mills | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1356742456 PECOS PAC ID: 9638437387 Enrollment ID: I20250519003386  | 
| Provider Name | Alaina Vega | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1699468702 PECOS PAC ID: 3274051479 Enrollment ID: I20250520003999  | 
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